Pre-operative endovascular coil embolisation for chronic pulmonary aspergillosis.
Int J Tuberc Lung Dis
; 25(9): 725-731, 2021 09 01.
Article
in En
| MEDLINE
| ID: mdl-34802494
ABSTRACT
OBJECTIVE:
To retrospectively evaluate the clinical outcomes of pre-operative endovascular coil embolisation (ECE) for chronic pulmonary aspergillosis (CPA).METHODS:
We evaluated surgical patients with CPA between November 2016 and April 2020. Pre-operative ECE for CPA with severe adhesions was selectively performed to reduce intra-operative blood loss. ECE procedures, operative procedures, intra-operative blood loss and complications were evaluated.RESULTS:
Twenty-eight patients (21 males and 7 females; median age 55 years) were included in the study. Of the 28 patients, 8 (28.6%) underwent pre-operative ECE. Technical success rate in pre-operative ECE was 100%. The median time required for ECE procedures was 123 min. The median number of vessels embolised per procedure was 2.5. The median period between embolisation and surgery was 5 days. Major complications were observed in three patients (10.7%). There were no significant differences between patients with and without pre-operative ECE in operative time (284 vs. 365 min, respectively, P = 0.7602) and intra-operative blood loss (294 vs. 228 mL, respectively, P = 0.8987).CONCLUSIONS:
Pre-operative ECE for CPA appears to be feasible and safe; however, its role in reducing intra-operative blood loss needs further investigation.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Embolization, Therapeutic
/
Pulmonary Aspergillosis
Type of study:
Observational_studies
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Int J Tuberc Lung Dis
Year:
2021
Document type:
Article
Affiliation country:
Japan