E Fficacy and Cost­ Effectiveness of Bronchial (original) (raw)

2001

Abstract

Objective. To determine the efficacy and cost-effectiveness of bronchial artery embolisation (BAE) in the treatment of major and massive haemop tysis in lllV-positive and negative patients with pulmonary inflammatory disease. Methods. A retrosp ective review of patien ts admitted over a period of 24 months to Wentworth Hospital with major haemop tysis treated using BAE. Results. Eighty-seven patients were treated (77 males, 10 females). Bilateral disease was present in 50 patients (57%). Thirty-two patients were lllV-positive (37%). Embolisation was successfully performed in 77 patients (88.5%), and failed for .technical reasons in 10 patients (11 .5%). There was only one procedural complication. Fifty-seven patients had a successful outcome, with cessation of haemoptysis within 24 hours (66.5%). Haemoptysis continued in 30 patients (34 %) (20 patients embolised and the 10 patients who had failed procedures). Fourteen of these patients (16%) required lobectomy or pneumonectomy as an...

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