Ultrasonographically Guided Percutaneous Embolization of a Pulmonary Pseudoaneurysm

Sheehy, Niall; Ford, Stephanie; McDermott, Rónán; Young, Vincent; Ryan, Mark

doi:10.1097/01.rvi.0000217939.77021.85

Cited by 14 publications

(4 citation statements)

References 11 publications

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“…For control of hemoptysis related to PAPs with bronchopulmonary shunts, the value of embolization of the feeding pulmonary artery remains an open question because embolization alone of bronchial and nonbronchial systemic collateral arteries may often control the hemoptysis. However, Khalil et al ( 18 ) ( 23,24 ) have described cases in which a feeding vessel suitable for coil embolization could not be identifi ed with pulmonary angiography; these cases were treated with percutaneous thrombin injection under US guidance. In our study, two patients were treated with a percutaneous injection of a liquid embolic agent, such as N -butyl cyanoacrylate or bovine thrombin, under transthoracic US guidance.…”

Section: Vascular and Interventional Radiology: Treatment Of Pulmonarmentioning

confidence: 97%

Peripheral Pulmonary Arterial Pseudoaneurysms: Therapeutic Implications of Endovascular Treatment and Angiographic Classifications

Shin¹,

Shin²,

Choi³

et al. 2010

Radiology

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Section: Vascular and Interventional Radiology: Treatment Of Pulmonarmentioning

confidence: 97%

Peripheral Pulmonary Arterial Pseudoaneurysms: Therapeutic Implications of Endovascular Treatment and Angiographic Classifications

Shin¹,

Shin²,

Choi³

et al. 2010

Radiology

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“…However, medication alone may not be effective in preventing PAP enlargement or rupture in patients with massive hemoptysis. Although various non-endovascular treatment methods, such as image-guided percutaneous direct puncture embolization, PAP resection, and lobotomy, are mainly applied to patients who cannot receive endovascular treatment, they are associated with high mortality [13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of large hemoptysis for pulmonary pseudoaneurysm: Report of 23 cases

Zhang

et al. 2022

Preprint

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Purpose: To evaluate the safety and effectiveness of endovascular treatment for massive hemoptysis caused by pulmonary pseudoaneurysm (PAP). Methods: The clinical data, imaging data, and endovascular treatment of 23 patients with massive hemoptysis caused by continuous PAP were retrospectively analyzed. The success, complication, postoperative recurrence rate, and influence of the treatment on pulmonary artery pressure were also evaluated. Results：Nineteen patients with bronchial artery (BA) or NBSA-PA fistula underwent bronchial artery embolization (BAE) + non-bronchial systemic artery embolization (NBSAE) + pulmonary artery embolization (PAE). The pulmonary artery (PA) pressures before and after embolization were 52.11±2.12 (35-69 cmH2O) and 33.58±1.63 (22-44 cmH2O), respectively (P=0.001). Four patients did not have BA or NBSA-PA fistula. Embolization was performed in two patients with distal pulmonalis lobar arteria PAP. Bare stent-assisted micro coil embolization was performed in the other two patients with PAP of main pulmonalis lobar arteria. The PA pressures of the four patients before and after treatment were 24.50±1.32 (22-28 cmH2O) and 24.75±1.70 (22-29 cmH2O), respectively (P=0.850). The technique had 100% success rate with no serious complications and a postoperative recurrence rate of 30%. Conclusion: Endovascular treatment is safe and effective for massive hemoptysis caused by PAP. The presence of BA or NBSA-PA fistula, BAE, or NBSAE can effectively reduce pulmonary hypertension.

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“…Pseudoaneurysm and haemorrhage into the lung may be identified with CT. Arterial angiography is also useful and any extravasation of contrast medium should be noted. The ultimate goal of treatment is to prevent the filling of the pseudoaneurysm and any extravasation of blood 1 7…”

Section: Discussionmentioning

confidence: 99%

Embolisation of an iatrogenic pulmonary artery pseudoaneurysm

Petersen

Brinegar

Öklü³

2015

BMJ Case Reports

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SUMMARYA 62-year-old woman with idiopathic cardiomyopathy and class IIIB/stage C heart failure sustained right pulmonary artery injury from a Swan-Ganz catheter during a pretransplant work up. Postprocedure, it was noted that the patient's segmental pulmonary artery catheter was wedged for an unclear period of time. The patient developed a small volume of blood-tinged sputum and a chest CT revealed a 1.3 cm pseudoaneurysm in the right middle lobe medial segment pulmonary artery and a small area of haemorrhage. The patient underwent pulmonary artery preserving coil embolisation of the pseudoaneurysm to prevent further right heart strain, given an ejection fraction of 20%, which resolved haemoptysis. Imaging studies showed preserved distal outflow and no evidence of residual pseudoaneurysm filling. BACKGROUND

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Ultrasonographically Guided Percutaneous Embolization of a Pulmonary Pseudoaneurysm

Cited by 14 publications

References 11 publications

Peripheral Pulmonary Arterial Pseudoaneurysms: Therapeutic Implications of Endovascular Treatment and Angiographic Classifications

Peripheral Pulmonary Arterial Pseudoaneurysms: Therapeutic Implications of Endovascular Treatment and Angiographic Classifications

Endovascular treatment of large hemoptysis for pulmonary pseudoaneurysm: Report of 23 cases

Embolisation of an iatrogenic pulmonary artery pseudoaneurysm

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