Interventional Therapeutic Strategy for Hemoptysis Originating from Infectious Pulmonary Artery Pseudoaneurysms

Abstract This study reports 6 cases of hemoptysis originating from infectious pulmonary artery pseudoaneurysms (PAPs). Selective pulmonary angiography revealed PAPs in 5 cases, and segmental pulmonary artery embolization was performed using coils and gelatin sponge particles. Systemic arterial embol...

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Published inJournal of vascular and interventional radiology Vol. 26; no. 7; pp. 1046 - 1051.e1
Main Authors Tsukada, Jitsuro, MD, Hasegawa, Ichiro, MD, PhD, Torikai, Hideyuki, MD, Sayama, Koichi, MD, Jinzaki, Masahiro, MD, PhD, Narimatsu, Yoshiaki, MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.2015
Subjects
Aged
Aneurysm, False - complications
Aneurysm, False - diagnosis
Aneurysm, False - microbiology
Aneurysm, False - physiopathology
Aneurysm, False - therapy
Aneurysm, Infected - complications
Aneurysm, Infected - diagnosis
Aneurysm, Infected - microbiology
Aneurysm, Infected - physiopathology
Aneurysm, Infected - therapy
Embolization, Therapeutic - instrumentation
Embolization, Therapeutic - methods
Equipment Design
Hemodynamics
Hemoptysis - etiology
Hemoptysis - therapy
Humans
Male
Middle Aged
Miniaturization
Multidetector Computed Tomography
Pulmonary Artery - diagnostic imaging
Pulmonary Artery - microbiology
Pulmonary Artery - physiopathology
Pulmonary Circulation
Radiology
Retrospective Studies
Treatment Outcome
Vascular Access Devices
pulmonary artery pseudoaneurysm
PAP
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Summary:Abstract This study reports 6 cases of hemoptysis originating from infectious pulmonary artery pseudoaneurysms (PAPs). Selective pulmonary angiography revealed PAPs in 5 cases, and segmental pulmonary artery embolization was performed using coils and gelatin sponge particles. Systemic arterial embolization also was performed in 5 cases because of inadequate initial control or for shunts from systemic to pulmonary arteries. At a median follow-up time of 9 months (range, 25 d to 25 mo), no recurrence occurred, although 2 patients died of respiratory failure. Segmental artery embolization combined with systemic artery embolization may be useful in patients with hemoptysis secondary to PAPs.
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.2015.04.002