ObjectivesMassive hemoptysis is a major clinical problem associated with high morbidity and mortality. Transcatheter arterial embolization is widely used for the treatment of massive hemoptysis, but it was reported that the recurrence rate after embolization is 12–54% in the previous studies.We evaluated the therapeutic effect of transcatheter arterial embolization for the treatment of massive hemoptysis and the factors related to recurrence.MethodsWe reviewed 51 patients (M:F=36:15) of trancatheter arterial embolization for the treatment of massive hemoptysis from Jan 1988 to Dec 1994, retrospectively.ResultsAfter arterial embolization, immediate successful control (400ml/24hr) or frequent history of hemoptysis had increased tendency of recurrence (87.5%, 72.7%).ConclusionTranscatheter arterial embolization is a useful and safe procedure for immediate control in massive hemoptysis. However, the patients with this procedure had a potentiality for recurrence. We suggest that close follow-up and caution will be needed in the patients with multiple artery bleeding or with large amounts of hemoptysis or with previous episodes more than 3 times.
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