Systemic arterial embolization - Thoracic Imaging

Title: Thoracic Imaging - Systemic arterial embolization
Diagnosis: Systemic arterial embolization
Author: Martins Martina
Comment: Howarth Nigel
Hospital: HUG
Department: Département de Radiologie
State: Terminée
Date: 21.03.2003
: 3441
KeyWords: Interventional technique
Anatomy: Thorax
Chapter: Interventional
ACR: 6.729

Clinical Presentation: Recurrent hemoptysis with bronchiectasis inthe right lower
Comment: Arterial embolization can now usually replace surgeryin the treatment of
Description: Selective catheterisation of the right bronchialartery shows a right
common broncho-intercostal trunk. The rightlower lobe bronchial arteries are tortuous and
dilated.Hyperselective catheterisation of the right bronchial artery beyondthe origin of the
intercostal artery is performed with amicrocatheter. The first control is carried out after
embolizationwith 500 to 750 nm microparticles and 4 silk threads. The finalcontrol after the
removal of the microcatheter shows completeocclusion of the right lower lobe bronchial
arteries. The patencyof the intercostal artery is preserved.

Order: 0
Dislocation: 0
Polytrauma: 0
Open: 0
Pathologic: 0
Operation: 00.00.00
Graft: 0

References: Lucidarme O, Howarth N. Radiologie interventionnellethoracique.
Encycl Méd Chir, Radiodiagnostic - Coeur-Poumon,32-500-A-10, 2001,14p. Jardin M,
Remy J. Control of hemoptysis:systemic angiography and anastomoses of the internal
mammaryartery. Radiology 1988;168:377-383. Grenier P, Cornud F, Lacombe P,Viau F,
Nahum H. Bronchial artery occlusion for severe hemoptysis:use of isobutyl-2
cyanoacrylate. AJR 1983;84:144-147.

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