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Title: Spontaneous Hemothorax in Neurofibromatosis Treated with Percutaneous Embolization

Journal Article · · Cardiovascular and Interventional Radiology
 [1];  [2];  [1];  [3];  [2]
  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, Vol. 30, Issue 3; Other Information: DOI: 10.1007/s00270-006-0056-1; Copyright (c) 2007 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
Country of Publication:
United States
Language:
English

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