Bronchial Artery Chemoembolization for Hemoptysis in Advanced Primary Lung Cancer

Li Xiaobing; Yin Meipan; Xie Pengfei; Zhao Yue; Liu Ying; Li Xiangnan; Qi Yu; Ma Yaozhen; Li Chunxia; Wu Gang

doi:10.1016/j.cllc.2021.10.011

Bronchial Artery Chemoembolization for Hemoptysis in Advanced Primary Lung Cancer

Clin Lung Cancer. 2022 May;23(3):e203-e209. doi: 10.1016/j.cllc.2021.10.011. Epub 2021 Oct 29.

Authors

Li Xiaobing¹, Yin Meipan¹, Xie Pengfei¹, Zhao Yue¹, Liu Ying², Li Xiangnan³, Qi Yu³, Ma Yaozhen¹, Li Chunxia¹, Wu Gang⁴

Affiliations

¹ Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
² Department of Respiratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
³ Departments of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
⁴ Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. Electronic address: wuganghenan2004@zzu.edu.cn.

PMID: 34824012
DOI: 10.1016/j.cllc.2021.10.011

Abstract

Background: To evaluate the safety and effectiveness of bronchial arterial infusion chemoembolization (BAICE) for lung cancer with hemoptysis.

Patients and methods: Retrospectively analyze clinical data of patients undergoing BAICE for the treatment of lung cancer with hemoptysis, evaluate the clinical efficacy of this approach, observe postoperative adverse reactions, and analyze hemoptysis-free survival (HFS) and overall survival (OS).

Results: All 187 patients underwent BAICE with technical success rate of 100%, clinical success rate of 86.6%, clinical failure rate of 13.4%. After BAICE, the tumor curative effect was evaluated as complete remission in 56 cases, partial remission in 82 cases, stable disease in 26 cases, and progressive disease in 6 cases. The objective response rate was 73.8%, and the disease control rate was 87.7%. Median HFS of the 154 clinically successful cases was 10.5 months (95% confidence interval [CI]: 8.11-11.89). The degree of hemoptysis (massive hemoptysis hazard ratio [HR] = 5.9, 95% CI: 3.43-10.16, P = .00) and cavitary lung mass (HR = 2.39, 95% CI: 1.44-3.99, P = .001), were significantly related to a reduction in HFS after BAICE. The 6-month and 12-month survival rates were 66.5% and 45.6%, respectively. The median OS of clinically successful cases was 13.0 months (95% CI: 11.22-14.77). The median OS of 16 clinically failed cases was 2.0 months (95% CI: 0.41-2.45) (P < .001). All adverse events were grade 1.

Conclusion: BAICE for advanced lung cancer with hemoptysis is safe, effective, and tolerable.

Keywords: Bronchial artery; Embolization; Hemoptysis; Infusion chemotherapy; Lung cancer.

MeSH terms

Bronchial Arteries* / pathology
Hemoptysis / etiology
Hemoptysis / therapy
Humans
Lung / pathology
Lung Neoplasms* / drug therapy
Lung Neoplasms* / therapy
Retrospective Studies
Treatment Outcome