Bronchial arterial embolization may reduce the risk of severe bleeding in central airway obstruction due to renal cell carcinomas during bronchoscopic procedures
| العنوان: | Bronchial arterial embolization may reduce the risk of severe bleeding in central airway obstruction due to renal cell carcinomas during bronchoscopic procedures |
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| المؤلفون: | Hong Gao, Nan Zhang, Hongwu Wang, Zhi‐Na Wang, Meimei Tao, Hongming Ma |
| المصدر: | Therapeutic Advances in Respiratory Disease Therapeutic Advances in Respiratory Disease, Vol 14 (2020) |
| بيانات النشر: | SAGE Publications, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, Pulmonary and Respiratory Medicine, Severe bleeding, renal cell carcinoma, medicine.medical_specialty, Cell, Hemorrhage, Bronchial Arteries, 03 medical and health sciences, 0302 clinical medicine, Renal cell carcinoma, Bronchoscopy, interventional bronchoscopy, Humans, Medicine, Central airway, Pharmacology (medical), In patient, Intraoperative Complications, Carcinoma, Renal Cell, Aged, Retrospective Studies, Original Research, lcsh:RC705-779, Aged, 80 and over, business.industry, Arterial Embolization, Bronchial Neoplasms, bronchial artery embolism, lcsh:Diseases of the respiratory system, Middle Aged, medicine.disease, Embolization, Therapeutic, Kidney Neoplasms, Surgery, Airway Obstruction, medicine.anatomical_structure, 030228 respiratory system, central airway obstruction, 030220 oncology & carcinogenesis, Female, business, Complication, Interventional bronchoscopy |
| الوصف: | Background: Hemorrhage is a life-threatening complication during bronchoscopic intervention in patients with central airway obstruction (CAO) due to metastatic renal cell carcinoma (RCC). Whether pre-bronchoscopic bronchial arterial embolization (BAE) can reduce the risk of severe bleeding in CAO patients due to metastatic RCC remains unclear. Methods: A total of 31 CAO patients due to metastatic RCC were included retrospectively and divided into a BAE group (receiving pre-bronchoscopic BAE) and non-BAE group in this study. Based on computed tomography (CT) and bronchoscopic findings, tumor debulking was used to reconstruct the airway during interventional bronchoscopy. The primary outcome was the incidence of severe bleeding during bronchoscopic procedures. Bleeding-related complications, Karnofsky performance score (KPS) and dyspnea score were also analyzed over a 1-month observation period. Results: There were no significant differences between the two groups in baseline characteristics, including patients’ features, tumor morphology under CT scannings, tumor site, and obstruction degree under bronchoscopic examination. Procedure-related bleeding occurred in all 31 patients. Pre-bronchoscopic BAE significantly reduced the incidence of moderate and major bleeding when compared with that in the non-BAE group. The incidence of poor visualization and hypoxia was also reduced significantly in the BAE group. There was no significant difference in KPS and dyspnea score between the BAE and non-BAE groups at 1 month follow up. Conclusion: Pre-bronchoscopic BAE might be a feasible option to reduce the risk of severe bleeding for CAO patients due to metastatic RCC during bronchoscopic intervention. Interventional bronchoscopy was a safe and effective procedure for CAO due to metastatic RCC. The reviews of this paper are available via the supplemental material section. |
| تدمد: | 1753-4666 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9cb3c57412a58d7bb9ada45bda84219aTest https://doi.org/10.1177/1753466620976012Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....9cb3c57412a58d7bb9ada45bda84219a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17534666 |
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