Bronchial Artery Chemoembolization for Hemoptysis in Advanced Primary Lung Cancer

BAE is often used for lung cancer with hemoptysis, but the long-term effect is poor. We retrospectively analyzed 187 patients treated with BAE and BAIC. The clinical success rate of 86.6%. The ORR, DCR were 73.8%, 87.7%, respectively. The Median HFS and OS were 10.5 months and 13.0 months, respectively. BAICE is safe, effective, and tolerable for patients. 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. (C) 2021 Elsevier Inc. All rights reserved.