Application of interlocking detachable coil (IDC) in superselective bronchial artery embolization
Hideo Ishikawa1) Takeshi Kimura2) Akiko Oya2) Atsushi Kamitani6) Yoshikazu Inoue3) Katsuhiro Suzuki3) Masanori Akira5) Seiji Hayashi2) Masaaki Kawahara2) Zenji Okada3) Kentaro Kimura3) Keiji Iuchi4) Mitsunori Sakatani2)
Departments of 1)Cardiology, 2)Internal Medicine, 3)Clinical Research Center, 4)Surgery, 5)Radiology, National Hospital Organization, Kinki-Chuo Chest Medical Center
6)Kamitani Clinic
Bronchial artery embolization (BAE) is almost the only effective nonsurgical treatment for massive hemoptysis. Metallic coils with plastic fibers are widely used as embolic materials. We have introduced an interlocking detachable coil (IDC) for BAE. IDC is a mechanically detachable coil, allowing the operator to seek the ideal shape until its final release. We compared hemoptysis patients treated with conventional metallic coils (24 patients, non-IDC group) with those treated with conventional coils and IDCs (26 patients, IDC group). The hemoptysis rate after three months is significantly lower in the IDC group than in the non-IDC group (7.7% vs. 16.3%, p=0.035 Fisher's exact method). Total procedure time (in staged or repetitive BAE cases, procedure times are added together) is significantly shorter in the IDC group than in the non-IDC group (3.4± 1.4 hours vs. 4.4± 2.5 hours, p=0.040 unpaired t-test). IDC is a useful device for BAE. This is the first-ever report documenting the usefulness of IDC for BAE.
Hemoptysis Bronchial artery embolization IDC Treatment Intervention
Received 平成15年11月28日
JJRS, 42(8): 730-736, 2004