Document Detail


Medical pneumonectomy: interventional bronchoscopic and endovascular management of massive hemoptysis due to pulmonary artery pseudoaneurysm, a consequence of endobronchial brachytherapy.
MedLine Citation:
PMID:  19420204     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endobronchial brachytherapy serves as an excellent adjunct to standard external beam radiation therapy. The high dose of local radiation is still used to manage airway obstructions at some institutions, despite the well-known risks of airway fistulae to the esophagus or cardiovascular structures. A less reported complication is the development of a pulmonary artery pseudoaneurysm into the mainstem bronchi. The formation of an arterial pseudoaneurysm can lead to massive hemoptysis, which often is fatal. We present a case of massive hemoptysis due to this complication of brachytherapy managed entirely through bronchoscopic and endovascular techniques.
Authors:
Mohit Chawla; Todd Getzen; Michael J Simoff
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  135     ISSN:  1931-3543     ISO Abbreviation:  Chest     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-07     Completed Date:  2009-06-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1355-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, Division of Pulmonary and Critical Care Medicine, Section of Interventional Pulmonology and Bronchoscopy, Henry Ford Hospital, Detroit, MI 48202, USA. chawlam1@mskcc.org
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / complications,  etiology*,  therapy*
Brachytherapy / adverse effects*
Bronchoscopy
Carcinoma, Non-Small-Cell Lung / radiotherapy
Embolization, Therapeutic*
Fibrin Tissue Adhesive / administration & dosage
Hemoptysis / etiology*,  therapy*
Hemostatics / administration & dosage
Humans
Instillation, Drug
Intubation, Intratracheal
Laryngoscopy
Lung Neoplasms / radiotherapy
Male
Middle Aged
Pulmonary Artery* / radiography
Radiology, Interventional
Stents
Chemical
Reg. No./Substance:
0/Fibrin Tissue Adhesive; 0/Hemostatics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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