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Title: Transarterial Embolization of Anomalous Systemic Arterial Supply to Normal Basal Segments of the Lung

Abstract

PurposeTo evaluate transarterial embolization (TAE) for the management of anomalous systemic arterial (ASA) supply to normal basal segments of the lung.MethodsThirteen patients with ASA supply to normal basal segments of the lung underwent TAE. All patients presented with hemoptysis and had complete-type anomalies on pre-TAE or post-TAE computed tomography (CT). The anomaly was unilateral in all patients; 11 lesions were located in the left lung and 2 in the right. All patients underwent embolization with coils (n = 10) or a vascular plug (n = 3). Procedural success, clinical efficacy, and complications were assessed. Mean post-TAE CT and clinical follow-up was 25.4 and 42.1 months, respectively.ResultsTechnical success was achieved in 100 % of cases. Several changes were noted on follow-up CT: complete obstruction of the ASA in all cases, normal (n = 11) or decreased (n = 2) density of the affected lung parenchyma, reduction of the primary enlarged inferior pulmonary vein in all cases, and pulmonary infarction and thickening of the corresponding bronchial artery (n = 4). The main complication was pulmonary infarction in four cases.ConclusionTAE is a safe, effective, and minimally invasive therapeutic option for patients with ASA supply to normal basal segments of the lung.

Authors:
; ;  [1]
  1. Tongji University School of Medicine, Department of Radiology, Shanghai Pulmonary Hospital (China)
Publication Date:
OSTI Identifier:
22645461
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 39; Journal Issue: 9; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; COMPUTERIZED TOMOGRAPHY; LUNGS; PATIENTS; VASCULAR DISEASES; VEINS

Citation Formats

Jiang, Sen, E-mail: jasfly77@vip.163.com, Yu, Dong, and Jie, Bing. Transarterial Embolization of Anomalous Systemic Arterial Supply to Normal Basal Segments of the Lung. United States: N. p., 2016. Web. doi:10.1007/S00270-016-1361-Y.
Jiang, Sen, E-mail: jasfly77@vip.163.com, Yu, Dong, & Jie, Bing. Transarterial Embolization of Anomalous Systemic Arterial Supply to Normal Basal Segments of the Lung. United States. doi:10.1007/S00270-016-1361-Y.
Jiang, Sen, E-mail: jasfly77@vip.163.com, Yu, Dong, and Jie, Bing. Thu . "Transarterial Embolization of Anomalous Systemic Arterial Supply to Normal Basal Segments of the Lung". United States. doi:10.1007/S00270-016-1361-Y.
@article{osti_22645461,
title = {Transarterial Embolization of Anomalous Systemic Arterial Supply to Normal Basal Segments of the Lung},
author = {Jiang, Sen, E-mail: jasfly77@vip.163.com and Yu, Dong and Jie, Bing},
abstractNote = {PurposeTo evaluate transarterial embolization (TAE) for the management of anomalous systemic arterial (ASA) supply to normal basal segments of the lung.MethodsThirteen patients with ASA supply to normal basal segments of the lung underwent TAE. All patients presented with hemoptysis and had complete-type anomalies on pre-TAE or post-TAE computed tomography (CT). The anomaly was unilateral in all patients; 11 lesions were located in the left lung and 2 in the right. All patients underwent embolization with coils (n = 10) or a vascular plug (n = 3). Procedural success, clinical efficacy, and complications were assessed. Mean post-TAE CT and clinical follow-up was 25.4 and 42.1 months, respectively.ResultsTechnical success was achieved in 100 % of cases. Several changes were noted on follow-up CT: complete obstruction of the ASA in all cases, normal (n = 11) or decreased (n = 2) density of the affected lung parenchyma, reduction of the primary enlarged inferior pulmonary vein in all cases, and pulmonary infarction and thickening of the corresponding bronchial artery (n = 4). The main complication was pulmonary infarction in four cases.ConclusionTAE is a safe, effective, and minimally invasive therapeutic option for patients with ASA supply to normal basal segments of the lung.},
doi = {10.1007/S00270-016-1361-Y},
journal = {Cardiovascular and Interventional Radiology},
number = 9,
volume = 39,
place = {United States},
year = {Thu Sep 15 00:00:00 EDT 2016},
month = {Thu Sep 15 00:00:00 EDT 2016}
}