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Treatment of a large pulmonary artery pseudoaneurysm secondary to fungal infection using Amplatzer plugs: New embolisation devices for the management of haemoptysis.

Chellamuthu S, Bottomley JR - Respir Med Case Rep (2011)

Bottom Line: Pulmonary artery pseudoaneurysms (PAP) may result in life threatening haemoptysis but are fortunately uncommon.We describe a case of large PAP secondary to fungal infection in an immunocompromised patient, which was successfully treated percutaneously using Amplatzer embolisation plugs.The technical considerations and advantages of these new devices are explained.

View Article: PubMed Central - PubMed

Affiliation: Sheffield Vascular Institute, Sheffield Teaching Hospitals NHS Trust, Northern General Hospital, Herries Rd, S57AU, Sheffield, United Kingdom.

ABSTRACT
Pulmonary artery pseudoaneurysms (PAP) may result in life threatening haemoptysis but are fortunately uncommon. Most are caused by trauma, iatrogenic injury or infection. We describe a case of large PAP secondary to fungal infection in an immunocompromised patient, which was successfully treated percutaneously using Amplatzer embolisation plugs. The technical considerations and advantages of these new devices are explained.

No MeSH data available.


Related in: MedlinePlus

Final angiogram post embolisation demonstrating absence of filling of the pseudoaneurysm. The end markers of the two Amplazter plugs are visible close to the tip of the guide catheter. There is preservation of an adjacent pulmonary segmental artery.
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fig4: Final angiogram post embolisation demonstrating absence of filling of the pseudoaneurysm. The end markers of the two Amplazter plugs are visible close to the tip of the guide catheter. There is preservation of an adjacent pulmonary segmental artery.

Mentions: Due to the size of the pseudoaneurysm and potential for continued or massive haemoptysis, a decision was made to proceed to embolisation. Informed consent was obtained prior to arterial access and placement of a 5 French sheath in the right common femoral artery. Right upper lobe pulmonary angiography demonstrated the feeding pulmonary artery (Fig. 3), which was crossed using a Terumo (Terumo Corporation) hydrophilic guide wire and 4 French Bernstein (Cook medical) catheter. A 6 French straight destination sheath was exchanged at the groin and advanced to just beyond the pseudoaneurysm origin. A 6 mm Amplatzer 1 (AGA medical) plug was deployed distally and a second 8 mm Amplatzer 1 plug proximally to occlude both the inflow and any potential for back flow into the pseudoaneurysm. Completion angiography (Fig. 4) demonstrated complete cessation of filling of the pseudoaneurysm. There were no procedural complications.


Treatment of a large pulmonary artery pseudoaneurysm secondary to fungal infection using Amplatzer plugs: New embolisation devices for the management of haemoptysis.

Chellamuthu S, Bottomley JR - Respir Med Case Rep (2011)

Final angiogram post embolisation demonstrating absence of filling of the pseudoaneurysm. The end markers of the two Amplazter plugs are visible close to the tip of the guide catheter. There is preservation of an adjacent pulmonary segmental artery.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4150616&req=5

fig4: Final angiogram post embolisation demonstrating absence of filling of the pseudoaneurysm. The end markers of the two Amplazter plugs are visible close to the tip of the guide catheter. There is preservation of an adjacent pulmonary segmental artery.
Mentions: Due to the size of the pseudoaneurysm and potential for continued or massive haemoptysis, a decision was made to proceed to embolisation. Informed consent was obtained prior to arterial access and placement of a 5 French sheath in the right common femoral artery. Right upper lobe pulmonary angiography demonstrated the feeding pulmonary artery (Fig. 3), which was crossed using a Terumo (Terumo Corporation) hydrophilic guide wire and 4 French Bernstein (Cook medical) catheter. A 6 French straight destination sheath was exchanged at the groin and advanced to just beyond the pseudoaneurysm origin. A 6 mm Amplatzer 1 (AGA medical) plug was deployed distally and a second 8 mm Amplatzer 1 plug proximally to occlude both the inflow and any potential for back flow into the pseudoaneurysm. Completion angiography (Fig. 4) demonstrated complete cessation of filling of the pseudoaneurysm. There were no procedural complications.

Bottom Line: Pulmonary artery pseudoaneurysms (PAP) may result in life threatening haemoptysis but are fortunately uncommon.We describe a case of large PAP secondary to fungal infection in an immunocompromised patient, which was successfully treated percutaneously using Amplatzer embolisation plugs.The technical considerations and advantages of these new devices are explained.

View Article: PubMed Central - PubMed

Affiliation: Sheffield Vascular Institute, Sheffield Teaching Hospitals NHS Trust, Northern General Hospital, Herries Rd, S57AU, Sheffield, United Kingdom.

ABSTRACT
Pulmonary artery pseudoaneurysms (PAP) may result in life threatening haemoptysis but are fortunately uncommon. Most are caused by trauma, iatrogenic injury or infection. We describe a case of large PAP secondary to fungal infection in an immunocompromised patient, which was successfully treated percutaneously using Amplatzer embolisation plugs. The technical considerations and advantages of these new devices are explained.

No MeSH data available.


Related in: MedlinePlus