Percutaneous injection therapy for a peripheral pulmonary artery pseudoaneurysm after failed transcatheter coil embolization.
Coil embolization to occlude the feeding artery of a pseudoaneurysm is an effective treatment to control hemoptysis. However, a feeding artery of the pseudoaneurysm may not be identified at pulmonary angiography, resulting in a failure to obtain embolization. We describe here two cases of a Rasmussen aneurysm that was successfully treated with percutaneous injection of thrombin (case 1) and N-butyl cyanoacrylate (case 2) under ultrasonographic and fluoroscopic guidance after failed transcatheter coil embolization.
Lee
Kyungwoo
K
Department of Emergency Medicine, Gyeongsang National University Hospital, Jinju, South Korea.
Shin
Taebeom
T
Choi
Jinsu
J
Kim
Younghwan
Y
D017541:Aneurysm, False / Q000175:diagnosis* / Q000628:therapy*; D000792:Angiography; D017548:Echocardiography, Transesophageal; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D005500:Follow-Up Studies; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery; D019233:Retreatment; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013917:Thrombin / Q000008:administration & dosage*; D014014:Tissue Adhesives / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D016896:Treatment Outcome
D014014:Tissue Adhesives; D013917:Thrombin