ĐÁNH GIÁ KẾT QUẢ NÚT MẠCH BẰNG KEO SINH HỌC TRONG ĐIỀU TRỊ HO RA MÁU DO DI CHỨNG LAO PHỔI TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

In 47 patients with pulmonary TB sequelae causing hemoptysis who underwent endovascular intervention with NBCA, there was a high clinical success rate (93.7%) with a low recurrence rate (10.3%) after 6 months follow-up. 90.4% of lesions were from the bronchial artery, followed by branches of the subclavian artery (34.6%). The NBCA:lipiodol ratio used was from 1:3 to 1:10 with the most commonly used ratio being 1:6 in 20 patients (42.6%). Complications of chest pain and dyspnea appeared in 45 patients (95.7%), nausea and vomiting in 2 patients (4.3%), 1 patient (2.1%) died after intervention due to respiratory failure by severe hemoptysis causing bronchial obstruction with bacteremia due to pneumonia, no neurological complications. Since then, it has been shown that using NCBA in the treatment of hemoptysis due to pulmonary sequelae brings good results for patients with high clinical success rate, very low recurrence rate after 6 months of treatment.