Transcatheter embolization of a large mediastinal bronchial artery aneurysm with short neck

Goh, Yonggeng; Rajendran, Prapul Chander; Loh, Stanley; Choong, Andrew M.T.L.; Ng, Sheldon; Wee, Bernard

doi:10.1111/ans.14198

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Therefore, combined therapy has a huge potential for the treatment of BAA. In contrast, certain studies suggest that the use of aortic stent-grafts may increase the risks of spinal cord ischemia and pseudoaneurysm rupture, warranting a cautious approach to their utilization ( 10 , 20 ). However, due to the short follow-up period in this case, further monitoring is necessary to determine whether its long-term prognosis is favourable.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Combined transcatheter arterial embolization and aortic stent-graft have better efficacy for bronchial artery aneurysms

Li,

Zhang,

et al. 2024

Front. Cardiovasc. Med.

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Bronchial artery aneurysm (BAA) is a rare and fatal condition that requires immediate treatment. However, conventional surgical and transcatheter arterial embolization treatments are less effective. In the present case, a 76-year-old hypertensive woman was admitted with dizziness and diagnosed with an unruptured bronchial artery aneurysm, which was treated by transcatheter arterial embolization and aortic stent-graft. The patient's clinical status was stable during the 4-year follow-up. Simultaneously, we reviewed 79 research papers, analyzing past BAA cases for their etiology, symptoms, and treatment outcomes. We found that catheter arterial embolization and aortic stent-graft implantation, especially for BAA of short-necked and arterial tortuosity, demonstrate superior efficacy compared to other methods. Therefore, we consider this approach to be the preferred choice in clinical BAA treatment.

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Section: Discussionmentioning

confidence: 99%

Case Report: Combined transcatheter arterial embolization and aortic stent-graft have better efficacy for bronchial artery aneurysms

Li,

Zhang,

et al. 2024

Front. Cardiovasc. Med.

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“…Goh believes that placement of a stent-graft may make it impossible for the patient to receive endovascular treatment in the future. A more cautious approach may be to follow-up the patient and place the stent when needed in the future ( 12 ). Fu reported that five cases of aneurysms near the opening of the bronchial artery were treated with TAE.…”

Section: Discussionmentioning

confidence: 99%

Rare Cases of Bronchial Aneurysm and Comparison of Interventional Embolization in the Treatment of True Bronchial Aneurysm and Pseudobronchial Aneurysm

Lin

Zhang

et al. 2022

Front. Cardiovasc. Med.

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BackgroundBronchial artery aneurysm (BAA) is a rare disease. Rupture of BAA can lead to life-threatening hemoptysis, and once diagnosed, treatment is needed regardless of symptoms. Transcatheter artery embolization is the first choice of treatment because it is minimally invasive and effective. This study aimed to retrospectively compare the embolization treatment of a case of true BAA and that of a pseudobranchial aneurysm and explore the choice of embolization method for BAA with short neck or no neck.Materials and MethodsEmbolization treatment and imaging characteristics of one case of true BAA and one case of pseudobronchial aneurysm admitted to our hospital were analyzed retrospectively. Embolization methods and therapeutic effects of two cases of BAAs were compared.ResultsCase 1 was that of an intact true BAA inside the mediastinum located at the opening of the bronchial artery. The distal end of the aneurysm was embolized, and tumor cavity was occluded. No recurrence of BAA was found after the operation. Case 2 was that of a ruptured and hemorrhagic pseudobronchial aneurysm of the mediastinum. Coil embolization combined with covered stent graft exclusion of the thoracic aorta were performed, and the left bronchial artery and BAA were almost occluded. Nine months postoperatively, the mediastinal hematoma was almost completely absorbed.ConclusionEndovascular embolization has become the most commonly used for the treatment of BAA. Different methods should be selected according to the location and nature of the aneurysm.

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Transcatheter embolization of a large mediastinal bronchial artery aneurysm with short neck

Cited by 2 publications

References 10 publications

Case Report: Combined transcatheter arterial embolization and aortic stent-graft have better efficacy for bronchial artery aneurysms

Case Report: Combined transcatheter arterial embolization and aortic stent-graft have better efficacy for bronchial artery aneurysms

Rare Cases of Bronchial Aneurysm and Comparison of Interventional Embolization in the Treatment of True Bronchial Aneurysm and Pseudobronchial Aneurysm

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