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기관지동맥 색전술 후 객혈의 재발에 관한 연구

Other Titles
 Risk Factors of Recurrent Hemoptysis after Bronchial Artery Embolization 
 Wou Young Chung  ;  Min Kwang Byun  ;  Moo Suk Park  ;  Chang Hoon Hahn  ;  Shin Myung Kang  ;  Do Yon Lee  ;  Young Sam Kim  ;  Se Kyu Kim  ;  Sung Kyu Kim  ;  Joon Chang 
 Tuberculosis and Respiratory Diseases, Vol.60(1) : 65-71, 2006 
Journal Title
 Tuberculosis and Respiratory Diseases 
Issue Date
Background: Hemoptysis, when massive and untreated, has a mortality rate of over 50 percents, is considered as one of most dreaded of all respiratory emergencies and can have a variety of underlying causes. Bronchial artery embolization (BAE) has become an established procedure in the management of massive and recurrent hemoptysis, and its efficacy is widely documented thereafter by number of articles. However, the long-term success rate of BAE is known to be unfavorable. Risk factors influencing that control failure are inevitably needed. Materials and methods: Seventy-five patients underwent bronchial artery embolization due to massive hemoptysis in Severance Hospital from Jan. 2000 to Jan. 2005. Nine patients' data were not available and could not be contacted with. Finally 66 patients' (48 males, 18 females) medical records were analyzed retrospectively during a mean follow up period of 20.4 months (ranging from 1 month to 54 months). Results: Among 66 patients whose data were available, 23 (34.9%) patients had recurrent major hemoptysis. Patients' age, sex, underlying disease, previous intervention history, and number of feeding vessels had no statistical validity as risk factors of recurred major hemoptysis. But bilaterality of lesion, amount of hemoptysis, and pleural thickening were revealed as meaningful factors for predicting relapse (p = 0.008, 0.018, and 0.001, respectively). Conclusion: According to our series, patients presenting with larger amount of hemoptysis, pleural thickening of chest radiography and bilateral lesion are associated with increased risk of major hemoptysis in patients treated with BAE.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Kyu(김성규)
Kim, Se Kyu(김세규)
Kim, Young Sam(김영삼) ORCID logo https://orcid.org/0000-0001-9656-8482
Park, Moo Suk(박무석) ORCID logo https://orcid.org/0000-0003-0820-7615
Lee, Do Yun(이도연)
Chang, Joon(장준) ORCID logo https://orcid.org/0000-0003-4542-6841
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