Permanent Cortical Blindness After Bronchial Artery Embolization

Journal Article · Sun Dec 15 04:00:00 EST 2013 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-013-0610-6· OSTI ID:22207966

Doorn, Colette S. van,; Weersink, Els J. M., ^[1]; Delden, Otto M. van,; Lienden, Krijn P. van, ^[2]

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1. Academic Medical Centre, Department of Pulmonology (Netherlands)
2. Academic Medical Centre, Department of Radiology (Netherlands)

A 35-year-old female with a known medical history of cystic fibrosis was admitted to our institution for massive hemoptysis. CTA depicted a hypertrophied bronchial artery to the right upper lobe and showed signs of recent bleeding at that location. Bronchial artery embolization (BAE) was performed with gelfoam slurry, because pronounced shunting to the pulmonary artery was present. Immediately after BAE, the patient developed bilateral cortical blindness. Control angiography showed an initially not opacified anastomosis between the embolized bronchial artery and the right subclavian artery, near to the origin of the right vertebral artery. Cessation of outflow in the bronchial circulation reversed the flow through the anastomosis and allowed for spill of embolization material into the posterior circulation. Unfortunately the cortical blindness presented was permanent.

• OSTI ID: 22207966
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 6 Vol. 36; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
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BYPASSES
FIBROSIS
HYPERTROPHY
VASCULAR DISEASES