Embolization of pulmonary catheter-induced pulmonary artery pseudoaneurysms.
OBJECTIVE
To determine the outcome of patients with pulmonary catheter-induced pulmonary artery pseudoansurysms (PSAs) treated with embolization.


METHODS
Retrospective outcomes review.


METHODS
Large urban tertiary-care hospital.


METHODS
All patients who presented to diagnostic angiography for ruptured pulmonary artery PSA caused by pulmonary artery catheters (PACs) from November 1990 to September 1995. A total of six patients were examined.


METHODS
Transcatheter embolotherapy with coils, absorbable gelatin sponges (Gelfoam), and suture material.


RESULTS
These procedures were technically successful in all patients, and none had recurrent hemoptysis. Four of the six patients were discharged from the hospital.


CONCLUSIONS
Embolotherapy is a useful alternative to surgery for some patients with PAC-induced pulmonary PSA.
Division of Angiography and Interventional Radiology, Roswell Park Cancer Institute, Buffalo, NY 14263, USA.
C E
CE
Ray
J A
JA
Kaufman
S C
SC
Geller
S M
SM
Rivitz
D J
DJ
Kanarek
A C
AC
Waltman
D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000209:etiology / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000209:etiology / Q000628:therapy; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects / Q000295:instrumentation*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006469:Hemoptysis / Q000517:prevention & control; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge; D011651:Pulmonary Artery / Q000473:pathology*; D012008:Recurrence; D012189:Retrospective Studies; D015996:Survival Rate; D013537:Sutures; D016896:Treatment Outcome
D006490:Hemostatics