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129 respectively. Eventually, after cough subsided and arterial SatO2 rose to 98%, the procedure was terminated. High ‐resolution computed tomography (HRCT) revealed a wedge ‐shaped area of consolidations consistent with lung injury (FIGURE 1G). The patient was recommended a 24 ‐hour rest with continued O2 supplementation. HRCT on the third postpro‐ cedural day showed regression of the lung injury (FIGURE 1H), and the patient was discharged home. At 1 ‐month follow ‐up, a significant improvement of hemodynamic parameters and symptoms was observed. Mean pulmonary artery pressure de‐ creased by 15 mmHg (from 57 to 42 mmHg), pulmonary vascular resistance by 5 Wood units (WU) (from 14 to 9 WU), and cardiac index in‐ creased by 0.5 l/min/m2 (from 1.8 to 2.3 l/min/ m2). The World Health Organization Functional Class decreased from class III to II. Selective an‐ giography showed persistent patency of the treat‐ ed vessel with excellent perfusion within the seg‐ ment (FIGURE 1F). HRCT revealed complete resolu‐ tion of previous abnormalities (FIGURE 1I). Due to the risk of potentially life ‐threatening complications, patients considered for BPA should be referred only to centers with experience in this procedure, where appropriate preventive and treatment protocols can be implemented to pro‐ vide good outcome. In case of symptomatic reper‐ fusion lung edema, urgent prolonged CB inflation in the artery of the affected segment may min‐ imize lung injury and resolve acute hemoptysis.

Prolonged catheter balloon inflation for the treatment of hemoptysis complicating balloon pulmonary angioplasty