{
  "abstract": "Objectives Clinical success of bronchial artery embolisation (BAE) in the management of haemoptysis depends on many predictors. This study aims to document the strengths, limitations and predictors of BAE success in improving the outcomes in managing patients with haemoptysis.Design Retrospective observational study. Data was extracted by reviewing medical records of patients who underwent bronchial artery embolisation for haemoptysis during the years 2021–2025.Setting Study was conducted at tertiary care teaching hospitals in Northern India with interventional radiology facilities.Participants 86 adult patients having haemoptysis, who underwent BAE at a tertiary hospital in North India, during 2021–2025 were included, while patients with incomplete records or non-haemoptysis indications for embolisation were excluded.Interventions Bronchial artery embolisation.Main outcome measures Clinical success was defined as cessation of bleeding and resolution of symptoms. Technical success was defined as the ability to cannulate and embolise bronchial arteries.Results In 86 patients (mean age=50.9±13.3 years), the majority of whom were males (62.8%), polyvinyl alcohol was the most used embolic agent (93.1%), while glue was used in a few cases. Embolisation of multiple vessels was carried out in 65.1% patients. Hypervascularity was detected in most cases (96.5%), while pseudoaneurysms were noted in 1.1%. Most frequent cause was post-tubercular sequelae (44.2%), followed by bronchiectasis (20.9%), aspergillosis (17.4%) and active tuberculosis (12.8%). In all cases, technical and in 89.5% cases, clinical success was achieved. Recurrence of haemoptysis occurred in 16.2% at 30 days, and in 22.1% at 3 months follow-up. Overall, the 3-month survival rate was 100%. The only factors that emerged as a statistically significant positive predictor of clinical success were embolisation of multiple vessels and haemodynamic stability.Conclusions Multiple vessel embolisation predicted better clinical success of bronchial artery embolisation, while unstable haemodynamics reduced the likelihood of its success.",
  "authors": [
    {
      "affiliations": [
        "SRMS IMS, Bareilly, Uttar Pradesh, India"
      ],
      "name": "Namrata Singh"
    },
    {
      "affiliations": [
        "SRMS IMS, Bareilly, Uttar Pradesh, India"
      ],
      "name": "Neeraj Prajapati"
    },
    {
      "affiliations": [
        "SRMS IMS, Bareilly, Uttar Pradesh, India"
      ],
      "name": "Vinod Kumar Mogha"
    },
    {
      "affiliations": [
        "SRMS IMS, Bareilly, Uttar Pradesh, India"
      ],
      "name": "Amit Kumar Singh"
    },
    {
      "affiliations": [
        "SRMS IMS, Bareilly, Uttar Pradesh, India"
      ],
      "name": "Pankaj Kaira"
    }
  ],
  "title": "Predictors of clinical success of bronchial artery embolisation in improving management outcomes in patients with haemoptysis: a study from Northern India",
  "uid": "2bdd0750-fed1-58f5-a4cb-a38ae9a05532"
}