03:09 PM Abstract No. 404 Angiographic analysis of spinal arterial supply: when to worry and when not to worry during bronchial artery embolization

AbstractInterventional radiology plays an integral role in the management of massive and recurrent submassive hemoptysis. Risks of bronchial artery embolization (BAE) are well described and include spinal ischemia and paralysis, most often related to nontarget embolization of the artery of Adamkiewicz or other large radiculomedullary artery supplying the anterior spinal artery. There is increasing literature regarding spinal infarction following BAE when arterial supply to the spinal cord was not evident. The existence of unrecognized patient comorbidities may further contribute to procedural risks.

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Bronchial carcinoid tumor managed with bronchial artery embolization before endobronchial resection: A case report

Thoracic Cancer ◽

10.1111/1759-7714.14050 ◽

2021 ◽

Author(s):

Shigehisa Kajikawa ◽

Kojiro Suzuki ◽

Nozomu Matsunaga ◽

Natsuki Taniguchi ◽

Toyonori Tsuzuki ◽

...

Keyword(s):

Case Report ◽

Carcinoid Tumor ◽

Bronchial Artery ◽

Bronchial Carcinoid ◽

Bronchial Artery Embolization ◽

Artery Embolization

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Bronchial Artery Embolization in Hemoptysis: 10-Year Survival and Recurrence-Free Survival in Benign and Malignant Etiologies – A Retrospective Study

RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren ◽

10.1055/s-0042-112227 ◽

2016 ◽

Vol 188 (11) ◽

pp. 1061-1066 ◽

Cited By ~ 11

Author(s):

R. Syha ◽

T. Benz ◽

J. Hetzel ◽

W. Spengler ◽

M. Kohlhäufl ◽

...

Keyword(s):

Retrospective Study ◽

Bronchial Artery ◽

Recurrence Free Survival ◽

Bronchial Artery Embolization ◽

Artery Embolization ◽

Free Survival

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Control of Tubercular Haemoptysis by Bronchial Artery Embolization

Tropical Doctor ◽

10.1177/004947559702700310 ◽

1997 ◽

Vol 27 (3) ◽

pp. 149-150 ◽

Cited By ~ 3

Author(s):

Sanjeev Mani ◽

Rajesh Mayekar ◽

Ravi Rananavare ◽

Deepti Maniar ◽

J Mathews Joseph ◽

...

Keyword(s):

Bronchial Artery ◽

Bronchial Artery Embolization ◽

Artery Embolization ◽

Selective Embolization ◽

Bronchial Arteries ◽

Bleeding Vessel ◽

Life Threatening ◽

Abnormal Bleeding ◽

Recurrent Haemoptysis

Thirty-seven patients presenting with massive or recurrent haemoptysis secondary to tuberculous aetiology were subjected to bronchial artery angiography. Of these, failure to catheterize the bleeding vessel occurred in two patients while embolization was withheld in two patients due to the presence of anterior spinal artery arising from a common intercosto-bronchial trunk. Immediate arrest of bleeding was performed in the remaining 33 patients by selective embolization of the abnormal bronchial arteries with a resorbable material (Gelfoam). Regular follow up for a duration of 6 months after the procedure revealed relapse of haemoptysis in four patients; three were treated by re-embolization of the abnormal bleeding vessels while one patient died due to aspiration immediately on admission. No recurrence of bleeding was seen in the remaining 29 patients. It is concluded that bronchial artery embolization is an effective treatment for immediate control of life-threatening haemoptysis.

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