Pulmonary Artery and Intercostal Artery Pseudoaneurysms After Penetrating Injury

Knaus, Maria E.; Weiman, Darryl S.; Valaulikar, Ganpat

doi:10.1016/j.athoracsur.2021.02.045

Cited by 2 publications

(5 citation statements)

References 6 publications

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“…The main causes represented in our recent literature review were infective (36.7%), paraneoplastic (31.8%), Swan-Ganz-induced (13.6%), traumatic (9%), post-surgical (4.5%), and iatrogenic (4.5%) [7][8][9][10][11][12][13][14][23][24][25][26]31,32,44,[54][55][56][57][58].…”

Section: Discussionmentioning

confidence: 94%

“…Nowadays, the surgical approach is generally avoided in the first instance because of the high risk of mortality; surgery is used for cases that cannot be managed with endovascular therapy or when the latter has not been effective [32]. Given the low risk of complications and the high success rate, the endovascular approach is currently the most widely used.…”

Section: Discussionmentioning

confidence: 99%

“…Post-traumatic PAPAs due to direct or indirect trauma and iatrogenic pseudoaneurysm formation due to Swan-Ganz catheter mispositioning or repetitive traumatic injury of permanent venous or arterial catheters can also occur [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. The presentation of PAPAs may be asymptomatic or, often, characterized by massive hemoptysis, dyspnea, and coughing, which can quickly evolve into hypovolemic hemorrhagic shock if not treated promptly [32][33][34][35][36][37][38][39][40][41][42][43].…”

Section: Introductionmentioning

confidence: 99%

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Pulmonary Artery Pseudoaneurysms Embolization: Bicentric Experience and Review of the Literature

Fontana

Piacentino

Curti

et al. 2023

JCM

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The purpose of this bicentric case series was to report the safety, efficacy, and clinical outcome of transcatheter embolization in pulmonary artery pseudoaneurysms (PAPAs). Between January 2016 and June 2021, eight patients with PAPA were subjected to transcatheter embolization. The total number of patients was eight, of which five were female, with a mean age of 62 ± 14 years (average ± standard deviation). Etiology was traumatic in 2/8 cases and iatrogenic in 6/8 cases (after positioning a Swan-Ganz catheter in 5/6 cases and a temporary pacemaker in the latter case). In a single case, the PAPA was incidentally discovered during a routine X-ray, in the remaining 7 cases, the procedure was performed in emergency settings. PAPA embolization was performed using detachable coils alone in 3 cases; coils and glue in 1 case; coils, glue, and vascular plug in 1 case; coils and non-adhesive liquid embolic agents (Onyx and Squid respectively) in 2 cases; and non-adhesive liquid embolic agent alone (Onyx) in 1 case. No peri-procedural or post-procedural complications were recorded. Both the technical and clinical success rates were 100.0%. In conclusion, endovascular embolization is a technically feasible and safe therapeutic option for patients with PAPAs.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pulmonary Artery Pseudoaneurysms Embolization: Bicentric Experience and Review of the Literature

Fontana

Piacentino

Curti

et al. 2023

JCM

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“…SPASs, which develop in the absence of chronic pulmonary inflammatory disease or complex congenital cardiac anomalies, are considered to occur as a result of local inflammation such as trauma or infection [ 8 , 9 ]. The bronchial arteries are the most common arteries involved in SPAS, but other non-bronchial arteries such as internal thoracic, intercostal, and inferior phrenic arteries can also contribute as shunting blood vessels into the pulmonary arteries [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, there is a risk of vessel recanalization and the development of collateral vessels [ 6 ]. Surgical treatments such as ligation of neovascular vessels at the chest wall, segmentectomy, lobectomy, or pneumonectomy have also be reported [ 9 , 12 , 13 ]. On the other hand, some reports insist that these lesions can be managed conservatively without intervention during long-term follow-up [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Systemic-to-pulmonary artery shunt treated with transcatheter arterial embolization and subsequent lung segmentectomy

Notsuda,

Tomiyama,

Onodera

et al. 2023

Egypt Heart J

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Background Systemic-to-pulmonary artery shunt (SPAS) is a rare condition that can occur as a result of congenital heart disease or chronic pulmonary inflammation, occasionally leading to life-threatening hemoptysis. Computed tomography (CT) imaging is crucial in the diagnosis of SPAS, and the optimal management approach for SPAS remains uncertain. This case report presents a novel approach to the treatment of SPAS, consisting of transcatheter arterial embolization of the systemic artery followed by lung segmentectomy. Case presentation A 42-year-old man with abnormal chest findings was referred to us and a diagnosis of SPAS was established based on the CT findings showing a blood flow regurgitation from the dilated left 4th intercostal artery to the Lt. A6. The patient was asymptomatic but we decided to treat him to prevent a risk of future hemoptysis. Transcatheter arterial embolization (TAE) of systemic arteries followed by S6 segmentectomy was successfully performed with minimal blood loss and complete removal of the dilated intra-pulmonary blood vessels. Histological analysis confirmed the diagnosis of SPAS. Conclusion We reported a case of SPAS, who was successfully treated with the combination of TAE and subsequent segmentectomy. The blood loss during surgery was minimal and this strategy appeared to minimize future recanalization and hemoptysis. Further studies and long-term follow-up of SPAS patients are required to establish standardized management guidelines for this rare condition.

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Pulmonary Artery and Intercostal Artery Pseudoaneurysms After Penetrating Injury

Cited by 2 publications

References 6 publications

Pulmonary Artery Pseudoaneurysms Embolization: Bicentric Experience and Review of the Literature

Pulmonary Artery Pseudoaneurysms Embolization: Bicentric Experience and Review of the Literature

Systemic-to-pulmonary artery shunt treated with transcatheter arterial embolization and subsequent lung segmentectomy

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