Immediate and Long-term Results of Bronchial Artery Embolization for Hemoptysis Due to Benign Versus Malignant Pulmonary Diseases

Singular observation of a desirable change after bronchial artery embolization for hemoptysis in intracavitary aspergilloma

“…[1213] Bronchial artery embolization has been evaluated for control of hemoptysis in aspergilloma in various studies and is considered to be the first line therapy, and as a method of hemodynamic stabilization before more definitive therapies such as surgery can be undertaken. [45678] All studies indicate effective immediate control of hemoptysis and a higher chance of re-bleed after bronchial artery embolization with aspergilloma compared to other benign pathologies. [4567] There has been no documented disappearance of fungal ball after BAE in any of these studies.…”

“…[45678] All studies indicate effective immediate control of hemoptysis and a higher chance of re-bleed after bronchial artery embolization with aspergilloma compared to other benign pathologies. [4567] There has been no documented disappearance of fungal ball after BAE in any of these studies.…”

“…Bronchial artery embolization has been widely utilized and is considered the treatment of choice for short-term control of hemoptysis. [45678] Aspergillom a are known to disappear spontaneously by being coughed out as black material or after topical administration of antifungals. We present two cases with long-standing aspergilloma presenting with massive hemoptysis where the fungal balls radiologically disappeared promptly after bronchial artery embolization without recurrence during a follow-up period of 6 months; such an event is undescribed as yet.…”

Embolization of Chest Neoplasms: The Next Frontier in Interventional Oncology?

“…According to the RECIST 1.1 criteria, complete response was not achieved, partial response was achieved in 28.6% 4 and stable disease in 71.4%. 10 While the study was not comparative and sufficiently powered to determine a survival benefit, the 5-year survival rate was 49% compared with a reported 27% 5-year survival of women with stage IV breast cancer. 28 The authors cited TACE as an option for palliation of chest metastases from breast cancer.…”

Massive Airway Hemorrhage

“…When patients are properly selected, BAE can control hemoptysis 90% of the time. 28,29 Of course, this is not a method to be used for tumor bleeding from the proximal airway. It is appropriate for hemoptysis for bronchiectasis, lung cancer, arteriovenous malformations, and so forth.…”