Transarterial Embolization of Anomalous Systemic Arterial Supply to Normal Basal Segments of the Lung
| Autor: | Sen Jiang, Bing Jie, Dong Yu |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Bronchial Arteries 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging Pulmonary sequestration Arteriovenous Malformations 03 medical and health sciences Basal (phylogenetics) Young Adult 0302 clinical medicine medicine.artery Parenchyma Medicine Humans Radiology Nuclear Medicine and imaging Embolization Lung Retrospective Studies business.industry Pulmonary Infarction Middle Aged medicine.disease Embolization Therapeutic Surgery medicine.anatomical_structure Female Radiology Cardiology and Cardiovascular Medicine business Complication Bronchial artery Tomography X-Ray Computed Follow-Up Studies |
| Zdroj: | Cardiovascular and interventional radiology. 39(9) |
| ISSN: | 1432-086X |
| Popis: | To evaluate transarterial embolization (TAE) for the management of anomalous systemic arterial (ASA) supply to normal basal segments of the lung. Thirteen patients with ASA supply to normal basal segments of the lung underwent TAE. All patients presented with hemoptysis and had complete-type anomalies on pre-TAE or post-TAE computed tomography (CT). The anomaly was unilateral in all patients; 11 lesions were located in the left lung and 2 in the right. All patients underwent embolization with coils (n = 10) or a vascular plug (n = 3). Procedural success, clinical efficacy, and complications were assessed. Mean post-TAE CT and clinical follow-up was 25.4 and 42.1 months, respectively. Technical success was achieved in 100 % of cases. Several changes were noted on follow-up CT: complete obstruction of the ASA in all cases, normal (n = 11) or decreased (n = 2) density of the affected lung parenchyma, reduction of the primary enlarged inferior pulmonary vein in all cases, and pulmonary infarction and thickening of the corresponding bronchial artery (n = 4). The main complication was pulmonary infarction in four cases. TAE is a safe, effective, and minimally invasive therapeutic option for patients with ASA supply to normal basal segments of the lung. |
| Databáze: | OpenAIRE |
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