Predilatation of a stenotic ostium of a bronchial artery, followed by embolization in recurrent hemoptysis.
Bronchial artery embolization may be the only life-saving procedure available in a patient presenting with massive hemoptysis. Rarely, selective catheterization of these vessels may be rendered difficult due to a stenotic ostium. This may result in closure of the vessel or absence of forward flow after the stenotic segment is crossed with a diagnostic catheter or a microcatheter. Further, it may also lead to recurrence of hemoptysis if the distal vessel and the prearteriolar bed are inadequately embolized. We describe a technique of selective cannulation of the stenotic vessel, dilatation of the stenosis and then successful embolization.
Department of Radiology, Kovai Medical Center and Hospital, Avinashi Road, Coimbatore, Tamil Nadu - 641 014, India.
Mathew P
MP
Cherian
Pankaj
P
Mehta
Tejas M
TM
Kalyanpur
Sandeep S
SS
Hedgire
Kaustubh
K
Narsinghpura
K
K
Venkatesh