Spontaneous Hemothorax in Neurofibromatosis Treated with Percutaneous Embolization

Journal Article · Fri Jun 15 04:00:00 EDT 2007 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-006-0056-1· OSTI ID:21090969

Arai, Kazunori ^[1]; Sanada, Junichiro ^[2]; Kurozumi, Akiko ^[1]; Watanabe, Toshio ^[3]; Matsui, Osamu ^[2]

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1. Kurobe City Hospital, Department of Radiology (Japan)
2. Kanazawa University Hospital, Department of Radiology (Japan)
3. Kurobe City Hospital, Department Thoracic Surgery (Japan)

We evaluated the effectiveness of transcatheter arterial coil embolization therapy for the treatment of spontaneous hemothorax followed by aneurysm rupture in neurofibromatosis patients. Three patients were treated for massive hemothorax caused by arterial lesions associated with neurofibromatosis. Bleeding episodes were secondary to ascending cervical artery aneurysm and dissection of vertebral artery in 1 patient, and intercostal artery aneurysm with or without arteriovenous fistula in 2 patients. Patients were treated by transarterial coil embolization combined with chest drainage. In 1 patient, the ruptured ascending cervical artery aneurysm was well embolized but, shortly after the embolization, fatal hemorrhage induced by dissection of the vertebral artery occurred and the patient died. In the other 2 patients, the ruptured intercostal artery aneurysm was well embolized and they were successfully treated and discharged. Transcatheter arterial coil embolization therapy is an effective method for the treatment of spontaneous hemothorax followed by aneurysm rupture in neurofibromatosis patients.

• OSTI ID: 21090969
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 3 Vol. 30; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
CHEST
HEMORRHAGE
PATIENTS
RUPTURES
THERAPY