Role of embolisation in the treatment of bronchopulmonary sequestration

Curros, Fernanda; Chigot, Valérie; Emond, Sophie; Sayegh, N.; Révillon, Y.; Scheinman, Pierre; Lebourgeois, Murielle; Brunelle, Françis

doi:10.1007/s002470000332

Cited by 82 publications

(49 citation statements)

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“…However,m ost surgeons do not advocate segmental resection because of risks related to incomplete resection of theP S, especially persistent pneumothorax and postoperative infections. For patients who aren ot candidates for open surgery,e mbolisation of the aberrant arterym ay be an therapeutic option (26). The infarcted tissue may, however,cause complications such as pain and fever.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Sequestration — A Review of 8 Cases Treated with Lobectomy

et al. 2006

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Background and Aims: Pulmonary sequestration (Ps) is ar are congenital malformation wherenon-functioning lung tissue is separated from the bronchial tree and vascularised with an aberrant artery from the systemic circulation. the aim of this report was to study all patients who were treated for Ps at lund university hospital between 1994 and 2004, with emphasis on clinical presentation of the disease and evaluate the results of surgical treatment.Material and Methods: 8c ases were identified, 7f emales and one male, with am ean age of 7.3 years (range 25 days -17years) at the time of diagnosis.Results: out of 8p atients, seven presented with respiratory symptoms and two with congestive heart failure. five patients had other congenitial malformations; including scimitarsyndrome and congenital heart disease. all the patients underwent asuccessful lobectomy.there were no majorpostoperative complications.atamediumfollow-up of 77 months all of the fully treated children were doing well.Conclusion: respiratoryand cardiovascularsymptoms are the most common symptoms related to Ps. the wide range of clinical symptoms may causediagnostic problems, especially in children and young adults with concomitant congenital heart disease. therefore Ps should be considered as ad ifferential diagnosis in children with unexplained respiratory symptoms or with signs of congestive heart failure. in patients with Ps, lobectomy seems to be agood therapeutic option.

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Section: Discussionmentioning

confidence: 99%

Pulmonary Sequestration — A Review of 8 Cases Treated with Lobectomy

et al. 2006

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“…[15][16][17] Color-enhanced, 3-dimensional MRA and 3-dimensional CT angiography can identify both arterial and venous aberrations and define the soft tissue abnormalities associated with sequestration. [18][19][20] In our series of patients, PS was verified by CT angiography and cardiac angiography.…”

Section: Resultsmentioning

confidence: 82%

“…23 Endovascular embolization and coil embolization are less invasive alternatives to surgery. [24][25][26] These methods can be used to protect the lungs from excessive intraoperative bronchial blood flow. We treated PS with embolization coil in order to prevent recurrent infection or shortness of breath in principle and report our results to answer the question whether asymptomatic patients should be treated by embolization coil.…”

Section: Resultsmentioning

confidence: 99%

Early and Late Outcomes of Coil Embolization of Pulmonary Sequestration in Children

Kuan

Huang

Lin

et al. 2009

Circ J

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Background: Pulmonary sequestration (PS) is characterized by non-functioning lung tissue fed from 1 or several aberrant systemic arteries. The classical therapeutic approach is surgical resection. Several case reports have shown that coil embolization is feasible, but this technique has not been evaluated in a larger series of consecutively treated patients. The purpose of our study was to assess the early and long-term outcomes of coil embolization of PS in children and to determine the risk factors of early and late major adverse cardiovascular and pulmonary events. Methods and Results: Between March 1999 and December 2004, 6 patients (2 boys, 4 girls, mean age 4.7±3.8 years) with PS were treated by coil embolization of the feeding systemic artery. Four patients were considered to have been cured and 2 patients required a second coil embolization 6 months later because of residual systemic flow seen on computed tomography. Transient ischemic change of the lower limb occurred in the youngest patient. None of the other patients had any late complications or recurrent pneumonia. Conclusions: Coil embolization of PS is safe and feasible, with a good late outcome. (Circ J 2009; 73: 938 -942)

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“…Lung parenchyma surrounding an ILS may show emphysematous changes. The aberrant systemic artery supplying the lesion usually arises from the descending thoracic or upper abdominal aorta, and less commonly from intercostals, internal thoracic, subclavian or even The definite treatment is surgical, though endovascular embolization has been attempted, especially for ELS [51,52]. Thoracotomy or thoracoscopic surgery may be done, and while ELS can be managed by sequestrectomy, lobectomy is usually needed for intralobar cases.…”

Section: Pulmonary Sequestrationmentioning

confidence: 99%

Congenital Malformations and Developmental Anomalies of the Lung

2014

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Congenital malformations of the lung are a group of diverse, yet related, abnormalities which may involve the lung parenchyma, pulmonary vasculature, or a combination of both. They may be detected in fetal life, produce severe symptoms during infancy, or may not manifest symptomatically until adulthood. The goal of imaging is to demonstrate the various components of the malformation, to facilitate appropriate management. This article discusses the spectrum of congenital and developmental lung anomalies, their etio-pathogenesis, role of various imaging modalities, and characteristic radiological findings.

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Role of embolisation in the treatment of bronchopulmonary sequestration

Abstract: Our experience indicates that bronchopulmonary sequestrations in children can be treated by embolisation alone.

Cited by 82 publications

References 0 publications

Pulmonary Sequestration — A Review of 8 Cases Treated with Lobectomy

Pulmonary Sequestration — A Review of 8 Cases Treated with Lobectomy

Early and Late Outcomes of Coil Embolization of Pulmonary Sequestration in Children

Congenital Malformations and Developmental Anomalies of the Lung

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