title: Arterial embolization to preoperatively manage pulmonary disease associated with inflammation.
abstract: Preoperative arterial embolization is used in pulmonary disease to reduce intraoperative blood loss resulting from exposure of extensive adherent pleura due to repeated inflammation. Between January 1996 and February 2001, 5 patients underwent surgery with this procedure. Underlying diseases were 3 cases of aspergilloma and 1 each of chronic expanding hematoma and lung cancer. All embolization was permanent, involving coil insertion. Surgical treatment was successful in all 5 patients without mortality. Such preoperative management proved useful in reducing intraoperative blood loss in hypervascular collateral feeding vessels in the area of resection or decortication.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Saga Medical School, 5-1-1 Nabeshima, Saga 849-8501, Japan.
authors.forename: Tohru
authors.initials: T
authors.lastname: Sakuragi
authors.forename: Yukinori
authors.initials: Y
authors.lastname: Sakao
authors.forename: Masafumi
authors.initials: M
authors.lastname: Natsuaki
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Itoh
mesh_terms: D000368:Aged; D001228:Aspergillosis / Q000601:surgery*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006406:Hematoma / Q000601:surgery*; D006801:Humans; D008171:Lung Diseases / Q000601:surgery*; D008172:Lung Diseases, Fungal / Q000601:surgery; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000601:surgery