Microcatheter placement through a side hole created in a 5-F catheter into proximal subclavian arterial branches causing hemoptysis.
Five patients with moderate to massive hemoptysis who had a bronchial artery of anomalous origin or a nonbronchial systemic artery originating from the proximal subclavian artery underwent microcatheter placement through a created side hole of a 5-F catheter. All patients had pulmonary tuberculosis and had undergone bronchial artery embolization for hemoptysis. The side holes were made in the lesser (n = 2) or greater curvature sides (n = 3) of 5-F nonbraided Headhunter catheters. A microcatheter was passed through the side hole of the 5-F catheter into the target artery for embolization. Polyvinyl alcohol particles were used as the embolic material. The technical success rate was 100%, and immediate control of hemoptysis was achieved in all patients without complication.
Department of Diagnostic Radiology, Soonchunhyang University, Cheonan Hospital, Cheonan, Republic of Korea. wonkwak@ajouac.jp
Je Hwan
JH
Won
Sung Il
SI
Park
Kwang Joo
KJ
Park
Yun Jeong
YJ
Oh
Seong Cheol
SC
Hwang
D000328:Adult; D001981:Bronchial Arteries / Q000002:abnormalities; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006469:Hemoptysis / Q000382:microbiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011142:Polyvinyl Alcohol / Q000008:administration & dosage; D012008:Recurrence; D019233:Retreatment; D013348:Subclavian Artery; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000150:complications*
D011142:Polyvinyl Alcohol