Efficacy and safety of drug-eluting beads bronchial arterial chemoembolization versus conventional bronchial arterial chemoembolization in lung cancer patients with hemoptysis

Future Oncol. 2022 Aug;18(25):2805-2815. doi: 10.2217/fon-2021-1515. Epub 2022 Jul 11.

Abstract

Background: This study aimed to explore the efficacy and safety of drug-eluting beads bronchial arterial chemoembolization (DEB-BACE) compared with conventional bronchial arterial chemoembolization (cBACE) in lung cancer patients with hemoptysis. Materials & methods: Thirty-six lung cancer patients with hemoptysis treated by DEB-BACE or cBACE were retrospectively analyzed. Results: Technical success of BACE and clinical success of hemoptysis treatment were no different between DEB-BACE and cBACE (both p > 0.050), whereas DEB-BACE achieved increased total clinical response (p = 0.021), objective response rate (p = 0.035) and prolonged hemoptysis relapse-free survival (p = 0.013) compared with cBACE. The adverse event rates were similar between these two groups (all p > 0.05). Conclusion: DEB-BACE presents with higher tumor treatment response, prolonged hemoptysis relapse-free survival and comparable safety profiles compared with cBACE in lung cancer patients with hemoptysis.

Keywords: clinical response; conventional bronchial arterial chemoembolization; drug-eluting beads bronchial arterial chemoembolization; hemoptysis; lung cancer.

MeSH terms

  • Carcinoma, Hepatocellular* / pathology
  • Chemoembolization, Therapeutic* / adverse effects
  • Doxorubicin / therapeutic use
  • Hemoptysis / etiology
  • Hemoptysis / therapy
  • Humans
  • Liver Neoplasms* / pathology
  • Lung Neoplasms* / complications
  • Lung Neoplasms* / pathology
  • Lung Neoplasms* / therapy
  • Neoplasm Recurrence, Local / therapy
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Doxorubicin