Percutaneous transcatheter treatment of an intracavitary aspergilloma.
We describe a case of massive hemoptysis, secondary to an intracavitary aspergilloma, successfully treated by computed tomography (CT)-guided placement of a Cope-loop catheter with daily transcatheter instillation of amphotericin B and cavitary irrigation. Over a 15-day period, this regimen resulted in cessation of hemoptysis and radiographic resolution of the aspergilloma. No complications were encountered. A follow-up CT of the thorax showed no recurrence of the aspergilloma at 3 months.
Klein
J S
JS
Department of Radiology, University of California Medical Center, San Francisco General Hospital 94110.
Fang
K
K
Chang
M C
MC
D000328:Adult; D000666:Amphotericin B / Q000008:administration & dosage; D001228:Aspergillosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002404:Catheterization / Q000379:methods; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D007322:Instillation, Drug; D008172:Lung Diseases, Fungal / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D007507:Therapeutic Irrigation; D014057:Tomography, X-Ray Computed
D000666:Amphotericin B