Document Detail

Bronchial artery aneurysm embolization with NBCA.
MedLine Citation:
PMID:  16639637     Owner:  NLM     Status:  MEDLINE    
We present a case of asymptomatic bronchial artery aneurysm that formed a fistula with part of the pulmonary artery (there was no definite fistula with the pulmonary vein). We were able to catheterize the feeding vessel but could not reach the aneurysm. We therefore injected a mixture of N-butyl-2-cyanoacrylate (NBCA; Histoacryl, B. Braun, Melsungen, Germany) and iodized oil (Lipiodol; Guerbet, Aulnay-sous-Bois, France) from the feeding vessel. The fistula, aneurysm, and feeding vessel were almost totally occluded. After embolization, the patient coughed a little; there were no other definite side effects or complications. One and 3 months later, on chest CT, the aneurysm was almost completely occupied with hyperattenuating NBCA-Lipiodol embolization. NBCA is a liquid embolization material whose time to coagulation after injection can be controlled by diluting it with Lipiodol. It is therefore possible to embolize an aneurysm, feeding vessels, and efferent vessels (in our case, it was a fistula) by using an NBCA-Lipiodol mixture of an appropriate concentration, regardless of whether the catheter can reach the aneurysm or not.
Hiroyuki Aburano; Yasuhiro Kawamori; Yasushi Horiti; Kiyohide Kitagawa; Junichiro Sanada; Osamu Matsui
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  29     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2006 Nov-Dec
Date Detail:
Created Date:  2006-10-30     Completed Date:  2007-06-19     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1141-3     Citation Subset:  IM    
Department of Radiology, Kouseiren Takaoka Hospital, Takaoka, 933-8555, Japan.
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MeSH Terms
Aneurysm / radiography,  therapy*
Arterial Occlusive Diseases / radiography,  therapy
Arterio-Arterial Fistula / radiography,  therapy
Bronchial Arteries* / abnormalities,  radiography
Chemoembolization, Therapeutic*
Cyanoacrylates / therapeutic use*
Injections, Intravenous
Iodized Oil / therapeutic use*
Pulmonary Artery / abnormalities,  radiography
Tomography, X-Ray Computed
Reg. No./Substance:
0/Cyanoacrylates; 6606-65-1/Enbucrilate; 8001-40-9/Iodized Oil

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