Percutaneous coil embolization to manage pulmonary artery hemorrhage after distal endarterectomy

Commentary: Preaching to the wire

“…Mangukia and colleagues 1 present an interesting case of pulmonary thromboendarterectomy complicated by arterial injury resulting in massive hemoptysis. Although the complication itself is not terribly novel—hemorrhage and hemoptysis are well-established risks of pulmonary thromboendarteretomy 2 , 3 and the authors themselves admit that this is not the first occurrence at their institution—the method of treatment should be insightful for surgeons and trainees wishing to remain at the forefront of our specialty.…”

Commentary: Double, double, coil, and trouble: Percutaneous options for managing pulmonary artery hemorrhage

“…In an interesting case report, Mangukia and colleagues 2 describe the use of percutaneous coil embolization to treat an intractable case of pulmonary hemorrhage after PTE of the left lower lobe and right upper lobe. Because their patient was unable to be weaned from venoarterial extracorporeal membrane oxygenation (VA-ECMO) and had failed 2 endobronchial blocker deflation trials, the authors opted to coil embolize the main artery of the left lower lobe, along with 3 basilar arteries.…”