Abstract
Objective: To evaluate the safety and effectiveness of endovascular embolization in the treatment of hemoptysis caused by pulmonary artery pseudoaneurysm (PAP).
Materials and Methods: This retrospective study included 13 patients with hemoptysis due to PAP who underwent endovascular treatment at Viet Duc University Hospital from April 2024 to December 2024. Clinical data including patient characteristics, pseudoaneurysm size and location, underlying etiology, embolization materials, and clinical outcomes were collected.
Results: Among 13 patients (8 males, 5 females; mean age 58.2 years), the mean diameter of PAP was 14.6 mm. Eleven patients (84.6%) underwent combined embolization of bronchial and/or intercostal arteries. Underlying causes included tuberculosis (n=7), fungal abscess (n=3), bacterial abscess (n=2), and post-biopsy injury (n=1). Embolization techniques included coil alone (n=4), coil with glue (n=6), plug alone (n=2), and plug with glue (n=1). Technical success was achieved in all cases (100%). One patient (9.1%) experienced recurrent hemoptysis within the first week requiring lobectomy. Two patients (15.4%) died within 30 days due to underlying disease rather than recurrent bleeding.
Conclusion: Endovascular embolization is a safe and effective treatment for hemoptysis caused by PAP. Early diagnosis and timely intervention play an essential role in improving patient outcomes.
| Published | 2026-06-28 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | Vol. 16 No. 3 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.3.663 | |
| Keywords | pulmonary artery pseudoaneurysm, hemoptysis, endovascular embolization, embolization giả phình động mạch phổi, ho máu, can thiệp nội mạch, nút mạch |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Hue Journal of Medicine and Pharmacy
Kalina M, Giberson F. Hemoptysis secondary to pulmonary artery pseudoaneurysm after necrotizing pneumonia. Ann Thorac Surg. 2007;84(4):1386-1387.
Lafita V, Borge M, Demos T. Pulmonary Artery Pseudoaneurysm: Etiology, Presentation, Diagnosis, and Treatment. Semin Interv Radiol. 2007;24(1):119-123.
Remy J, Lemaitre L, Lafitte JJ, Vilain MO, Saint Michel J, Steenhouwer F. Massive hemoptysis of pulmonary arterial origin: diagnosis and treatment. Am J Roentgenol. 1984;143(5):963-969.
Marquis KM, Raptis CA, Rajput MZ, et al. CT for evaluation of hemoptysis. Radiographics. 2021;41(3):742-761.
Giragani S, Balani A, Mallu GR, et al. Endovascular glue embolization for control of massive hemoptysis caused by peripheral pulmonary artery pseudoaneurysms: report of 7 cases. Lung India. 2019;36(1):8-13.
Li FQ, Su DJ, Zhang WJ, et al. Endovascular treatment for massive haemoptysis due to pulmonary pseudoaneurysm: report of 23 cases. J Cardiothorac Surg. 2023;18(1):244.
Akis S, So YH, Lee J, Jin KN, Choi YR. Therapeutic approaches for pulmonary artery pseudoaneurysms and analysis of outcomes. Eur Radiol. June 14, 2025.
Burrel M, Real MI, Barrufet M, et al. Pulmonary artery pseudoaneurysm after Swan-Ganz catheter placement: embolization with vascular plugs. J Vasc Interv Radiol. 2010;21(4):577-581.
Trần Xuân Thủy. Ho ra máu mức độ nặng do vỡ phình động mạch phổi: Thông báo trường hợp lâm sàng. J 108-Clin Med Phamarcy. 2023;17(8).
Nguyễn Văn Tiến Bảo, Huỳnh Quang Huy, Lê Văn Phước, Nguyễn Huỳnh Nhật Tuấn, Thái Ngọc Dâng, Lê Văn Khoa, và cộng sự. Vai trò can thiệp nội mạch trong điều trị ho ra máu ở bệnh nhân lao phổi. Tạp chí Y học Việt Nam. 2023;533(2).
Đào Ngọc Bằng, Bạch Quốc Tuấn, Tạ Bá Thắng. Kết quả gây tắc động mạch phế quản điều trị ho ra máu tại trung tâm hô hấp, bệnh viện Quân y 103 trong 5 năm. Tạp chí Y học Việt Nam. 2023;525(1A).
Trịnh Thị Hằng, Đinh Văn Lượng, Đỗ Xuân Cảnh, Kiều Bảo Trang, Lê Thị Tuyết, Hoàng Thu Huyền, và cộng sự. Vai trò của kỹ thuật gây tắc động mạch trước điều trị phẫu thuật ho ra máu. Tạp chí Y học Việt Nam. 2025;546(3).
Pelage JP, El Hajjam M, Lagrange C, et al. Pulmonary artery interventions: an overview. Radiographics. 2005;25(6):1653-1667.
Sbano H, Mitchell AW, Ind PW, Jackson JE. Peripheral Pulmonary Artery Pseudoaneurysms and Massive Hemoptysis. Am J Roentgenol. 2005;184(4):1253-1259.
Chen Y, Gilman MD, Humphrey KL, et al. Pulmonary artery pseudoaneurysms: clinical features and CT findings. Am J Roentgenol. 2017;208(1):84-91.
Khalil A, Parrot A, Nedelcu C, Fartoukh M, Marsault C, Carette MF. Severe hemoptysis of pulmonary arterial origin: signs and role of multidetector row CT angiography. Chest. 2008;133(1):212-219.