Endovascular Therapy of Bronchial Artery Aneurysm: Five Cases With Six Aneurysms

Journal Article · Wed Jun 15 00:00:00 EDT 2011 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-010-9895-X· OSTI ID:21608691

Lue, Peng-Hua; Lifu, Wang ^[1]; Yusheng, Su ^[2]; Lee, Deok-Hee ^[3]; Shuxiang, Wang; Ling, Sun; Suping, Geng; Wennuo, Huang ^[1]

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1. First Affiliated Hospital of Yangzhou University, Department of Radiology, JiangSu Province SuBei Hospital (China)
2. First Affiliated Hospital of Yangzhou University, Department of Thoracic Surgery, JiangSu Province SuBei Hospital (China)
3. University of Ulsan College of Medicine, Department of Radiology, Asan Medical Center (Korea, Republic of)

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.

• OSTI ID: 21608691
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 3 Vol. 34; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ALCOHOLS
ARTERIES
BIOMEDICAL RADIOGRAPHY
BLOOD VESSELS
BODY
BUILDUP
CARDIOVASCULAR SYSTEM
CAT SCANNING
COMPUTERIZED TOMOGRAPHY
CONTAINERS
CONTRAST MEDIA
DIAGNOSTIC TECHNIQUES
DISPERSIONS
HYDROXY COMPOUNDS
LIPIODOL
MEDICINE
MIXTURES
NUCLEAR MEDICINE
OILS
ORGANIC COMPOUNDS
ORGANIC HALOGEN COMPOUNDS
ORGANIC IODINE COMPOUNDS
ORGANIC POLYMERS
ORGANS
OTHER ORGANIC COMPOUNDS
PARTICLES
PATIENTS
POLYMERS
POLYVINYLS
PVA
RADIOLOGY
THERAPY
TOMOGRAPHY