Preliminary Experience of Endovascular Embolization Using N-Butyl Cyanoacrylate for Hemoptysis due to Infectious Pulmonary Artery Pseudoaneurysms via Systemic Arterial Approach

We report 5 patients with hemoptysis due to infectious pulmonary artery pseudoaneurysm (PAP) treated with endovascular embolization using N-butyl cyanoacrylate (NBCA) injected via bronchial and nonbronchial systemic arterial approaches. Infectious diseases included inactive tuberculosis (n = 3), non...

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Published inJournal of vascular and interventional radiology Vol. 28; no. 10; pp. 1438 - 1442.e1
Main Authors Torikai, Hideyuki, Hasegawa, Ichiro, Jinzaki, Masahiro, Narimatsu, Yoshiaki
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.10.2017
Subjects
Aged
Aneurysm, False - complications
Aneurysm, False - therapy
Bronchial Arteries
Embolization, Therapeutic - methods
Enbucrilate - therapeutic use
Female
Hemoptysis - etiology
Hemoptysis - therapy
Humans
Lung Diseases - microbiology
Lung Diseases - therapy
Male
Middle Aged
Retrospective Studies
Tomography, X-Ray Computed
Treatment Outcome
Tuberculosis, Pulmonary - microbiology
Tuberculosis, Pulmonary - therapy
NBCA
PAP
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Summary:We report 5 patients with hemoptysis due to infectious pulmonary artery pseudoaneurysm (PAP) treated with endovascular embolization using N-butyl cyanoacrylate (NBCA) injected via bronchial and nonbronchial systemic arterial approaches. Infectious diseases included inactive tuberculosis (n = 3), nontuberculous mycobacteriosis (n = 1), and chronic infection of unknown origin (n = 1). Seven PAPs were detected on selective systemic angiography, and injection of NBCA was performed. Disappearance of all PAPs was confirmed on systemic arteriography after the intervention. In all patients, hemoptysis was stopped without major complications, and it did not recur during the follow-up period (mean, 351 d; range, 285–427 d).
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:1051-0443
1535-7732
DOI:10.1016/j.jvir.2016.03.023