Transcatheter embolization of a Rasmussen aneurysm via pulmonary artery with n-butyl cyanoacrylate and iodized oil mixture injection with balloon occlusion
Author(s) -
Yukichi Tanahashi,
Hiroshi Kondo,
Marie Osawa,
Takahiro Yamamoto,
Masao Yamaguchi,
Shigeru Furui
Publication year - 2016
Publication title -
journal of vascular surgery cases and innovative techniques
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.274
H-Index - 5
ISSN - 2468-4287
DOI - 10.1016/j.jvscit.2016.09.008
Subject(s) - medicine , pseudoaneurysm , embolization , aneurysm , pulmonary artery , radiology , occlusion , anastomosis , bronchial artery , left pulmonary artery , shunting , surgery
We describe a new approach to effective embolization of Rasmussen aneurysm by simultaneous devascularization of the pseudoaneurysm and systemic artery-to-pulmonary artery anastomoses. In our patient, a radiologic workup for hemoptysis revealed a Rasmussen aneurysm. A bronchial arteriogram revealed a pseudoaneurysm via bronchopulmonary artery shunting. A left pulmonary arteriogram did not demonstrate the pseudoaneurysm. A superior lingular pulmonary arteriogram with balloon occlusion showed the pulmonary artery branch, pseudoaneurysm, and bronchial artery via bronchopulmonary artery shunting with retrograde flow. An n-butyl cyanoacrylate injection with balloon occlusion achieved complete embolization. This approach may be an effective technique for the treatment of peripheral pulmonary artery pseudoaneurysm
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