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Suzuki K, Kai R, Hirano T, Yagi M, Dohi K. Bronchial arterial embolization for an unruptured bronchial artery aneurysm in patient with hemoptysis. Intern Emerg Med 2024:10.1007/s11739-024-03647-y. [PMID: 38773053 DOI: 10.1007/s11739-024-03647-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2024] [Accepted: 05/14/2024] [Indexed: 05/23/2024]
Affiliation(s)
- Keisuke Suzuki
- Department of Emergency, Critical and Disaster Medicine, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan.
| | - Ryozo Kai
- Department of Radiology, Division of Radiology, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan
| | - Takaho Hirano
- Department of Radiological Technology, Showa University Hospital, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan
- Graduate School of Health Science, Showa University, 1865 Tokaichibacho, Midori-ku, , Yokohama-shi, Kanagawa, 222-8555, Japan
| | - Masaharu Yagi
- Department of Emergency, Critical and Disaster Medicine, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan
| | - Kenji Dohi
- Department of Emergency, Critical and Disaster Medicine, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan
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Yoon M, Cha JG, Park J, Lee SY, Kim SH, Hong J, Park B. Endovascular Treatment of Incidentally Found Multiple Aneurysms Originating from a Bronchial Artery: A Case Report. JOURNAL OF THE KOREAN SOCIETY OF RADIOLOGY 2023; 84:1191-1196. [PMID: 37869109 PMCID: PMC10585086 DOI: 10.3348/jksr.2022.0168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 02/06/2023] [Accepted: 02/26/2023] [Indexed: 10/24/2023]
Abstract
Bronchial artery aneurysm (BAA) is a rare disease, and multiple aneurysms of a single bronchial artery are rarer. Regardless of the size of the lesion, it is at risk of rupture and can cause massive hemoptysis or severe pain. We report a rare case of bronchial artery embolization (BAE) of multiple aneurysms of a single bronchial artery. During medical examination, a 64-year-old female was diagnosed with multiple BAAs and endobronchial lesions in the right lower lung on CT 10 years prior to presentation to our hospital. Further evaluation of the lesions was recommended; however, the patient was lost to follow-up. The patient complained of dyspnea and visited our hospital, and the size of the BAA had increased on CT. BAE was done successfully using N-butyl-2-cyanoacrylate and detachable coils. Follow up CT after BAE showed significant decrease in extent of inflammatory lesion in the right lung.
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The effect of transcatheter bronchial artery embolization in five patients with bronchial artery aneurysm. Adv Cardiol 2021; 16:330-335. [PMID: 33597999 PMCID: PMC7863811 DOI: 10.5114/aic.2020.99269] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 05/09/2020] [Indexed: 01/21/2023]
Abstract
Introduction Due to its rarity and the lack of animal models for this disease, the etiology of bronchial artery aneurysm (BAA) is poorly understood. Aim To investigate the effect of transcatheter artery embolization (TAE) with coils, spherical polyvinyl alcohol (PVA), and gel foam in patients with BAA. Material and methods From June 2015 to November 2018, 5 patients diagnosed with BAA with massive hemoptysis after undergoing bronchial arteriography and receiving TAE therapy in the Department of Interventional Radiology were enrolled in this study. Post-embolization angiography was used to demonstrate total occlusion of the BAAs and bronchiectatic engorged vessels. The patients’ follow-up was conducted 1–16 months after TAE. Results All 5 patients were cured by the TAE treatment, during which PVA, coils, and gel foam were applied. The patients also received successful TAE via a microcatheter. Hemoptysis disappeared in all patients. No special or severe complications occurred, and no patient experienced a recurrence during the follow-up. Conclusions Overall, TAE is the best choice for patients with hemoptysis and BAA due to its effectivity and reliability. Thorough and complete embolization of the bleeding arteries is the key to successful treatment. Though PVA and coils are the most common materials for embolization, gel foam strips can also be applied.
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Kikutani K, Itai J, Ota K, Chosa K, Yamane Y, Shime N. A Ruptured Mediastinal Bronchial Artery Aneurysm Treated with Urgent Thoracic Endovascular Aortic Repair. Intern Med 2020; 59:1283-1286. [PMID: 32074575 PMCID: PMC7303459 DOI: 10.2169/internalmedicine.4004-19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Bronchial artery aneurysms (BAA) are a rare but potentially life-threatening complications because of the massive hemothorax or hemoptysis that occurs with ruptures. A 79-year-old woman was transferred to our hospital because of the sudden onset of back pain, syncope, and subsequent hypotension. Computed tomography showed a left BAA with bilateral hemothorax and hemomediastinum. Transcatheter bronchial artery embolization failed because of the anatomical location, and she went into cardiopulmonary arrest. Cardiopulmonary resuscitation was performed with successful revival. Urgent thoracic endovascular aortic repair to cover the root of the left bronchial artery was successful, and she survived without any neurological deficits.
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Affiliation(s)
- Kazuya Kikutani
- Department of Emergency and Critical Care Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan
| | - Junji Itai
- Department of Emergency and Critical Care Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan
| | - Kohei Ota
- Department of Emergency and Critical Care Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan
| | - Keigo Chosa
- Department of Diagnostic Radiology, Hiroshima University, Japan
| | - Yoshitaka Yamane
- Department of Cardiovascular Surgery, Hiroshima University School of Medicine, Japan
| | - Nobuaki Shime
- Department of Emergency and Critical Care Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan
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Li Y, Gu GC, Liu B, Shao J, Chen Y, Zheng YH. Endovascular Treatment of Multiple Bronchial Artery Aneurysms With Prominent Fistula to Pulmonary Artery in a Patient With Interstitial Lung Disease: A Case Report and Literature Review. Vasc Endovascular Surg 2019; 53:492-496. [PMID: 31018831 DOI: 10.1177/1538574419845184] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Bronchial artery aneurysm (BAA) is a rare entity. Ruptured BAA can cause life-threatening hemorrhage. It is recommended that treatment should be initiated immediately after diagnosis. We present the case of a 56-year-old female with multiple BAAs and interstitial lung disease. Aortic computed tomography angiography demonstrated that the largest aneurysm at the right hilum was fed by right subclavian artery and right bronchial artery. A fistula between the pulmonary trunk and the aneurysm was also revealed. The patient underwent transcatheter embolization. Coils were placed in the feeding vessels instead of the aneurysms to avoid nontarget embolization of the pulmonary arteries through the fistula. The procedure achieved reduction in aneurysmal blood flow. The patient's cough resolved at 6-month follow-up.
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Affiliation(s)
- Yuan Li
- 1 Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China
| | - Guang-Chao Gu
- 1 Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China
| | - Bao Liu
- 1 Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China
| | - Jiang Shao
- 1 Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China
| | - Yu Chen
- 1 Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China
| | - Yue-Hong Zheng
- 1 Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China
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6
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A Stepwise Embolization Strategy for a Bronchial Arterial Aneurysm: Proximal Coil and Distal Glue with the Optional Use of a Microballoon Occlusion System. Cardiovasc Intervent Radiol 2018; 41:1267-1273. [PMID: 29687263 DOI: 10.1007/s00270-018-1969-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2017] [Accepted: 04/17/2018] [Indexed: 11/27/2022]
Abstract
PURPOSE This study aimed to demonstrate a transcatheter embolization strategy for bronchial artery aneurysms (BAAs) using coils for the proximal lesion and glue (n-butyl-2-cyanoacrylate [NBCA]) embolization for the distal lesion with or without the use of a microballoon occlusion catheter. MATERIALS AND METHODS Five patients with BAAs presenting with hemoptysis were enrolled in this study. A bronchial angiogram indicated a mediastinal BAA near the orifice, accompanied by dilated distal branches with or without intrapulmonary BAA. A stepwise procedure was performed. First, the intrapulmonary branches were embolized with glue, with or without the use of a microballoon catheter depending upon the anatomical and local flow hemodynamic conditions. Second, the mediastinal BAA was tightly packed with detachable coils. RESULTS Glue embolization of intrapulmonary abnormal branches successfully controlled hemoptysis in all patients; microballoon catheters were used in five of the 10 arteries. The volume embolization ratio of coils within the mediastinal BAA ranged from 28 to 59%, and neither coil compaction nor signs of recanalization were observed during follow-up. CONCLUSION The stepwise embolization procedure with the sequential use of glue (with or without a microballoon occlusion system) and detachable coils may represent a possible endovascular strategy for the treatment of complex BAAs. LEVEL OF EVIDENCE IV Level 4: Case Series.
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San Norberto EM, Urbano García J, Montes JM, Vaquero C. Endovascular treatment of bronchial aneurysms. J Thorac Cardiovasc Surg 2018; 156:e109-e117. [PMID: 29452708 DOI: 10.1016/j.jtcvs.2017.12.121] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/03/2017] [Revised: 12/10/2017] [Accepted: 12/29/2017] [Indexed: 12/20/2022]
Affiliation(s)
| | - José Urbano García
- Division of Vascular and Interventional Radiology, Jimenez Díaz Foundation University Hospital, Madrid, Spain
| | - José M Montes
- Division of Radiology, Valladolid University Hospital, Valladolid, Spain
| | - Carlos Vaquero
- Division of Vascular Surgery, Valladolid University Hospital, Valladolid, Spain
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Hou Z, Wang J, Peng D, Li C, Yang J, Wang J. Massive hemoptysis due to multiple bronchial artery aneurysms and multiple aneurysmal dilations: A case report. Radiol Case Rep 2017; 13:24-27. [PMID: 29487634 PMCID: PMC5826471 DOI: 10.1016/j.radcr.2017.11.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Revised: 11/10/2017] [Accepted: 11/13/2017] [Indexed: 01/21/2023] Open
Abstract
Bronchial artery aneurysm (BAA) is a rare but potentially life-threatening clinical entity. Patients with multiple BAAs and multiple aneurysmal dilations are even rarer. In this case report, we will investigate a case of multiple BAAs and multiple aneurysmal dilations arising from 2 right bronchial artery branches presenting with hemoptysis. The patient was successfully treated with transcatheter arterial embolization. We should be vigilant for the possibility of BAA when encountering patients presenting with hemoptysis. Transcatheter arterial embolization is safe and effective to solve this condition.
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Affiliation(s)
- Ziliang Hou
- Department of Respiratory and Critical Care Medicine, Beijing Luhe Hospital, Capital Medical University, Xinhuananlu No.82, Tongzhou District, Beijing 101100, China
| | - Jianfeng Wang
- Department of Interventional Therapy, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
| | - Dan Peng
- Department of Respiratory and Critical Care Medicine, Beijing Luhe Hospital, Capital Medical University, Xinhuananlu No.82, Tongzhou District, Beijing 101100, China
| | - Congfeng Li
- Department of Respiratory and Critical Care Medicine, Beijing Luhe Hospital, Capital Medical University, Xinhuananlu No.82, Tongzhou District, Beijing 101100, China
| | - Jingjing Yang
- Department of Respiratory and Critical Care Medicine, Beijing Luhe Hospital, Capital Medical University, Xinhuananlu No.82, Tongzhou District, Beijing 101100, China
| | - Jinxiang Wang
- Department of Respiratory and Critical Care Medicine, Beijing Luhe Hospital, Capital Medical University, Xinhuananlu No.82, Tongzhou District, Beijing 101100, China
- Corresponding author.
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Goh Y, Rajendran PC, Loh SEK, Choong AMTL, Ng SJK, Wee B. Transcatheter embolization of a large mediastinal bronchial artery aneurysm with short neck. ANZ J Surg 2017; 89:597-599. [PMID: 28994247 DOI: 10.1111/ans.14198] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2017] [Revised: 03/30/2017] [Accepted: 07/16/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Yonggeng Goh
- Department of Interventional Radiology, National University Hospital, Singapore
| | - Prapul C Rajendran
- Department of Interventional Radiology, National University Hospital, Singapore
| | - Stanley E K Loh
- Department of Interventional Radiology, National University Hospital, Singapore
| | | | - Sheldon J K Ng
- Department of Interventional Radiology, National University Hospital, Singapore
| | - Bernard Wee
- Department of Interventional Radiology, National University Hospital, Singapore
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Di X, Ji DH, Chen Y, Liu CW, Liu B, Yang J. Endovascular treatment of ectopic bronchial artery aneurysm with brachiocephalic artery stent placement and coil embolization: A case report and literature review. Medicine (Baltimore) 2016; 95:e4461. [PMID: 27583854 PMCID: PMC5008538 DOI: 10.1097/md.0000000000004461] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Bronchial artery aneurysm (BAA) is an uncommon but potentially life-threatening disease, and multiple BAAs are even rarer. Clinically, the tortuous and short neck of a BAA may present significant challenges for invasive intervention. METHODS This report describes the detailed process of diagnosis and treatment and includes a literature review of the etiology, clinical presentation, and therapeutic management of BAA. RESULTS A rare case of multiple BAAs, with one having an inflow artery arising from the brachiocephalic trunk, was referred to our hospital. The patient was successfully treated with coil embolization and brachiocephalic artery stent placement. In addition, we conducted a literature review involving 63 cases of BAA. BAA was most commonly associated with bronchiectasis and was located predominantly in the mediastinum. There was no significant difference between the diameters of the ruptured aneurysms and those of the nonruptured aneurysms (P = 0.115). Transcatheter arterial embolization was the most commonly adopted technique to treat BAA, while thoracic aortic endovascular repair was selected if the neck between the aneurysm and the aorta was short. Subgroup analysis suggested that patients with > 1 BAA were significantly more likely to be female than male (χ test, P = 0.034). CONCLUSION Transcatheter coil embolization combined with stent placement could be a reasonable treatment option for BAAs with a tortuous and short neck. According to our literature review, patients with multiple BAAs display distinctive clinical characteristics compared with patients with a single BAA.
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Affiliation(s)
- Xiao Di
- Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing
| | - Dong-Hua Ji
- Department of Interventional Therapy, First Affiliated Hospital of Dalian Medical University, Liaoning
| | - Yu Chen
- Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing
| | - Chang-Wei Liu
- Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing
| | - Bao Liu
- Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing
- Correspondence: Bao Liu, Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, No.1 Shuaifuyuan, Dongcheng District, Beijing 100730, China (e-mail: )
| | - Juan Yang
- Department of Cytobiology, Peking Union Medical College, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China
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Mahmood RD, Chen ZY, Low TB, Ng KS. A rare case of multiple bronchial artery aneurysms associated with a double aortic arch. Singapore Med J 2016; 56:e42-5. [PMID: 25820859 DOI: 10.11622/smedj.2015050] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Bronchial artery aneurysm is uncommon, and the occurrence of multiple aneurysms arising from a bronchial artery is even rarer. To date, there has been only one published case report describing double bronchial artery aneurysms. We herein describe a case of three aneurysms arising from a left bronchial artery, accompanied by multiple bilateral hypertrophied bronchial and intercostobronchial arteries, as well as a double aortic arch. Bronchial artery aneurysm is potentially life-threatening, and immediate treatment is recommended to minimise the potential risk of rupture. The aneurysms in our case were successfully treated via transcatheter arterial embolisation using coils.
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Affiliation(s)
- R D Mahmood
- Department of Radiology, Changi General Hospital, 2 Simei Street 3, Singapore 529889.
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12
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Kim YK, Sung YM, Kim JH, Byun SS, Park YN, Lee SP. Aortic Stent-Graft for a Giant Bronchial Artery Aneurysm with Ultrashort Neck. Ann Thorac Cardiovasc Surg 2014; 20 Suppl:781-5. [DOI: 10.5761/atcs.cr.12.02117] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Yoon Kyung Kim
- Department of Radiology, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea
| | - Yon Mi Sung
- Department of Radiology, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea
| | - Jeong Ho Kim
- Department of Radiology, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea
| | - Sung Su Byun
- Department of Radiology, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea
| | - Young Nam Park
- Department of Radiology, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea
| | - Sang Pyo Lee
- Department of Medicine, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea
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Arici V, Bozzani A, Odero A. Successful Endovascular Treatment of a Bronchial Artery Aneurysm Refractory to Transcatheter Embolization. Ann Vasc Surg 2013; 27:802.e13-5. [DOI: 10.1016/j.avsg.2012.07.029] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2012] [Revised: 06/28/2012] [Accepted: 07/24/2012] [Indexed: 10/26/2022]
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14
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Iida Y, Saguchi T, Ikeda N, Ogino H. Bronchial artery aneurysm. J Vasc Surg 2013; 58:217. [DOI: 10.1016/j.jvs.2012.01.075] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2011] [Revised: 01/25/2012] [Accepted: 01/27/2012] [Indexed: 10/26/2022]
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15
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Lü PH, Wang LF, Su YS, Lee DH, Wang SX, Sun L, Geng SP, Huang WN. Endovascular therapy of bronchial artery aneurysm: five cases with six aneurysms. Cardiovasc Intervent Radiol 2011; 34:508-12. [PMID: 20523999 DOI: 10.1007/s00270-010-9895-x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The objective of this study was to investigate the effect of transcatheter arterial embolization (TAE) with N-butyl-2-cyanoacrylate (NBCA)-Lipiodol mixture in patients with bronchial artery aneurysm (BAA). From January 2005 to January 2010, five patients presenting hemoptysis with six BAAs were treated with NBCA-Lipiodol mixture, including intra-aneurysm embolization (IAE) in one patient. Adjuvant embolization with spherical polyvinyl alcohol (PVA) embolic microparticles or NBCA was first performed to embolize the distal engorged bronchiectatic arteries. Bronchial arterial angiography showed six BAAs (four in the right lobe and two in the left lobe) and some engorged, tortuous bronchial arteries. TAE through microcatheter was successful in all cases. Postembolization angiogram demonstrated the NBCA cast and total occlusion of BAAs and bronchiectatic engorged vessels. After these procedures, hemoptysis completely disappeared in all patients. Follow-up computed tomography (CT) scan was performed at an average of 3 months (range 2 to 6), which showed no enhancement of BAAs and accumulation of NBCA. TAE is a minimally invasive, effective, and reliable approach for treatment for patients with BAA. NBCA-Lipiodol mixture provides a good choice for treatment of BAA, especially when catheterization of the efferent branches is impossible.
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Affiliation(s)
- Peng-Hua Lü
- Department of Radiology, JiangSu Province SuBei Hospital, First Affiliated Hospital of Yangzhou University, 225001, Yangzhou, People's Republic of China.
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Bouayad M, Bagan P, Brian E, Benabdesselam A, Couffinhal JC. [Mediastinal bronchial artery aneurysm: treatment with stent-graft]. ACTA ACUST UNITED AC 2010; 36:45-9. [PMID: 21131150 DOI: 10.1016/j.jmv.2010.10.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2010] [Accepted: 10/14/2010] [Indexed: 10/18/2022]
Abstract
Mediastinal bronchial artery aneurysm is rare but potentially life-threatening, and requires prompt treatment to avert rupture with catastrophic results. Inflammatory conditions dominate the aetiologies. Conventional therapies are surgery via thoracotomy and endovascular embolization. We report a case of a giant saccular aneurysm of the bronchial artery described in an 80-year-old man, adjacent to the descending aorta, simulating aortic aneurysm and causing esophageal compression. It was totally excluded with an aortic stent-graft (TX2, Cook) performed through femoral access. Our case is the fourth reported of mediastinal bronchial aneurysm stent-graft exclusion. The analysis of success, complications rate and hospital stay duration favors endovascular grafting comparing with conventional techniques.
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Affiliation(s)
- M Bouayad
- Service de chirurgie vasculaire et thoracique, centre hospitalier Victor-Dupouy, Argenteuil, France.
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