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Transarterial Embolization of Anomalous Systemic Arterial Supply to Normal Basal Segments of the Lung

  • Clinical Investigation
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Abstract

Purpose

To evaluate transarterial embolization (TAE) for the management of anomalous systemic arterial (ASA) supply to normal basal segments of the lung.

Methods

Thirteen patients with ASA supply to normal basal segments of the lung underwent TAE. All patients presented with hemoptysis and had complete-type anomalies on pre-TAE or post-TAE computed tomography (CT). The anomaly was unilateral in all patients; 11 lesions were located in the left lung and 2 in the right. All patients underwent embolization with coils (n = 10) or a vascular plug (n = 3). Procedural success, clinical efficacy, and complications were assessed. Mean post-TAE CT and clinical follow-up was 25.4 and 42.1 months, respectively.

Results

Technical success was achieved in 100 % of cases. Several changes were noted on follow-up CT: complete obstruction of the ASA in all cases, normal (n = 11) or decreased (n = 2) density of the affected lung parenchyma, reduction of the primary enlarged inferior pulmonary vein in all cases, and pulmonary infarction and thickening of the corresponding bronchial artery (n = 4). The main complication was pulmonary infarction in four cases.

Conclusion

TAE is a safe, effective, and minimally invasive therapeutic option for patients with ASA supply to normal basal segments of the lung.

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Abbreviations

ASA:

Anomalous systemic artery

AVP:

Amplatzer vascular plug

CT:

Computed tomography

CTA:

Computed tomography angiography

FA:

Femoral artery

LRA:

Left radial artery

IPV:

Inferior pulmonary vein

PA:

Pulmonary artery

TAE:

Transarterial embolization

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Authors and Affiliations

  1. Department of Radiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507 Zhengmin Road, Shanghai, 200433, China

    Sen Jiang, Dong Yu & Bing Jie

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  1. Sen Jiang
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  2. Dong Yu
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Correspondence to Sen Jiang.

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All authors declare that they have no conflicts of interest.

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Jiang, S., Yu, D. & Jie, B. Transarterial Embolization of Anomalous Systemic Arterial Supply to Normal Basal Segments of the Lung. Cardiovasc Intervent Radiol 39, 1256–1265 (2016). https://doi.org/10.1007/s00270-016-1361-y

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  • DOI: https://doi.org/10.1007/s00270-016-1361-y

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