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Hemoptysis Due to Type II Endoleak after Thoracic Endovascular Aortic Repair: Successful Treatment with Percutaneous CT-Guided Embolization
An 81-year-old woman presented with massive hemoptysis. She had a history of total arch replacement with an elephant trunk followed by concomitant antegrade thoracic endovascular aortic repair for the aortic arch and the descending aortic aneurysm. Computed tomography (CT) showed expansion of the ao...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Interventional Radiology
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550394/ https://www.ncbi.nlm.nih.gov/pubmed/36284834 http://dx.doi.org/10.22575/interventionalradiology.2019-0005 |
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author | Tsuchiya, Satoshi Saiga, Atsushi Yokota, Hajime Nishiyama, Akira Kubota, Yoshihiro Horikoshi, Takuro Uno, Takashi |
author_facet | Tsuchiya, Satoshi Saiga, Atsushi Yokota, Hajime Nishiyama, Akira Kubota, Yoshihiro Horikoshi, Takuro Uno, Takashi |
author_sort | Tsuchiya, Satoshi |
collection | PubMed |
description | An 81-year-old woman presented with massive hemoptysis. She had a history of total arch replacement with an elephant trunk followed by concomitant antegrade thoracic endovascular aortic repair for the aortic arch and the descending aortic aneurysm. Computed tomography (CT) showed expansion of the aortic aneurysm with type II endoleak, lung parenchymal consolidation, and ground-glass opacity. An aortopulmonary fistula was suspected. Surgery posed a very high risk for the patient; hence, a less invasive approach was considered. Left subclavian arteriography revealed a type II endoleak. A transarterial approach would be difficult due to the small and tortuous access route and longer procedure time. Therefore, CT-guided puncture embolization was performed. She had no recurrence of hemoptysis for 1.4 years after the embolization. |
format | Online Article Text |
id | pubmed-9550394 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Japanese Society of Interventional Radiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-95503942022-10-24 Hemoptysis Due to Type II Endoleak after Thoracic Endovascular Aortic Repair: Successful Treatment with Percutaneous CT-Guided Embolization Tsuchiya, Satoshi Saiga, Atsushi Yokota, Hajime Nishiyama, Akira Kubota, Yoshihiro Horikoshi, Takuro Uno, Takashi Interv Radiol (Higashimatsuyama) Case Report An 81-year-old woman presented with massive hemoptysis. She had a history of total arch replacement with an elephant trunk followed by concomitant antegrade thoracic endovascular aortic repair for the aortic arch and the descending aortic aneurysm. Computed tomography (CT) showed expansion of the aortic aneurysm with type II endoleak, lung parenchymal consolidation, and ground-glass opacity. An aortopulmonary fistula was suspected. Surgery posed a very high risk for the patient; hence, a less invasive approach was considered. Left subclavian arteriography revealed a type II endoleak. A transarterial approach would be difficult due to the small and tortuous access route and longer procedure time. Therefore, CT-guided puncture embolization was performed. She had no recurrence of hemoptysis for 1.4 years after the embolization. The Japanese Society of Interventional Radiology 2020-02-14 /pmc/articles/PMC9550394/ /pubmed/36284834 http://dx.doi.org/10.22575/interventionalradiology.2019-0005 Text en © 2020 Japanese Society of Interventional Radiology https://creativecommons.org/licenses/by-nc/4.0/Interventional Radiology is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc/4.0/). |
spellingShingle | Case Report Tsuchiya, Satoshi Saiga, Atsushi Yokota, Hajime Nishiyama, Akira Kubota, Yoshihiro Horikoshi, Takuro Uno, Takashi Hemoptysis Due to Type II Endoleak after Thoracic Endovascular Aortic Repair: Successful Treatment with Percutaneous CT-Guided Embolization |
title | Hemoptysis Due to Type II Endoleak after Thoracic Endovascular Aortic Repair: Successful Treatment with Percutaneous CT-Guided Embolization |
title_full | Hemoptysis Due to Type II Endoleak after Thoracic Endovascular Aortic Repair: Successful Treatment with Percutaneous CT-Guided Embolization |
title_fullStr | Hemoptysis Due to Type II Endoleak after Thoracic Endovascular Aortic Repair: Successful Treatment with Percutaneous CT-Guided Embolization |
title_full_unstemmed | Hemoptysis Due to Type II Endoleak after Thoracic Endovascular Aortic Repair: Successful Treatment with Percutaneous CT-Guided Embolization |
title_short | Hemoptysis Due to Type II Endoleak after Thoracic Endovascular Aortic Repair: Successful Treatment with Percutaneous CT-Guided Embolization |
title_sort | hemoptysis due to type ii endoleak after thoracic endovascular aortic repair: successful treatment with percutaneous ct-guided embolization |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550394/ https://www.ncbi.nlm.nih.gov/pubmed/36284834 http://dx.doi.org/10.22575/interventionalradiology.2019-0005 |
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