Evidence map›Paper›PMID 39645530›Full record

ArticleClinical lung cancer2025

Transarterial Embolization for the Management of Emergent Hemoptysis in Patients With Primary and Metastatic Lung Tumors.

Ruben Geevarghese, Elena N Petre, Etay Ziv, Ernesto Santos, Lee Rodriguez, Ken Zhao, Vlasios S Sotirchos, Stephen B Solomon, Erica S Alexander

Abstract read
In one paragraph

Article in Clinical lung cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ruben GeevargheseDivision of Interventional Radiology, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.
Elena N PetreDivision of Interventional Radiology, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.
Etay ZivDivision of Interventional Radiology, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.
Ernesto SantosDivision of Interventional Radiology, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.
Lee RodriguezDepartment of Research and Technology Management, Memorial Sloan Kettering Cancer Center, New York, NY.
Ken ZhaoDivision of Interventional Radiology, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.
Vlasios S SotirchosDivision of Interventional Radiology, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.
Stephen B SolomonDivision of Interventional Radiology, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.
Erica S AlexanderDivision of Interventional Radiology, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY. Electronic address: alexane@mskcc.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectivesTo evaluate the role of systemic arterial embolization in patients with primary and metastatic lung tumors presenting with hemoptysis requiring emergent management. PATIENTS AND

methodsThis retrospective single-center study evaluated patients undergoing transarterial embolization for emergent hemoptysis. Endpoints included technical success, clinical success and overall survival. Clinical success was divided into partial or complete, and defined as absence (complete) or subtotal (partial) reduction in frequency and/or volume of hemoptysis in the first 24-hours following embolization. Predictive factors for clinical outcomes were evaluated using univariate analysis. Adverse events were graded according to Common Terminology Criteria for Adverse Events (CTCAE) v5.0.

resultsThirty-seven patients were identified, including 21/37 (56.8%) patients with primary lung cancer. Clinical success was achieved in 31/37 (83.8%) patients. Median overall survival was 18 days (95% CI, 10-95). Median hemoptysis-free survival was 270 days (95% CI 7 to not reached). No significant predictors of hemoptysis-free survival were identified. Prior chemotherapy (HR 2.69, 95% CI, 1.08-6.67; P = .03) was associated with poorer overall survival. History of primary lung tumor (vs. metastatic tumor) was associated with improved overall survival (HR 0.45, 95% CI, 0.21-0.95; P = 0.04). No serious adverse events (CTCAE Grade ≥ 3) were found to be directly attributable to the embolization.

conclusionHemoptysis requiring emergent management in patients with lung malignancy carries a poor prognosis. Transarterial embolization is feasible, safe and may be an effective management option, although further research is warranted to identify which patients are likely to derive the greatest benefit.

Indexed as

Embolization, TherapeuticHemoptysisLung NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateTreatment OutcomeBronchial arteryEmbolizationHemoptysisLung cancerMetastatic

Identifiers

PMID39645530
PMCPMC12677301

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.