Document Detail

Spontaneous hemothorax in neurofibromatosis treated with percutaneous embolization.
MedLine Citation:
PMID:  17206387     Owner:  NLM     Status:  MEDLINE    
We evaluated the effectiveness of transcatheter arterial coil embolization therapy for the treatment of spontaneous hemothorax followed by aneurysm rupture in neurofibromatosis patients. Three patients were treated for massive hemothorax caused by arterial lesions associated with neurofibromatosis. Bleeding episodes were secondary to ascending cervical artery aneurysm and dissection of vertebral artery in 1 patient, and intercostal artery aneurysm with or without arteriovenous fistula in 2 patients. Patients were treated by transarterial coil embolization combined with chest drainage. In 1 patient, the ruptured ascending cervical artery aneurysm was well embolized but, shortly after the embolization, fatal hemorrhage induced by dissection of the vertebral artery occurred and the patient died. In the other 2 patients, the ruptured intercostal artery aneurysm was well embolized and they were successfully treated and discharged. Transcatheter arterial coil embolization therapy is an effective method for the treatment of spontaneous hemothorax followed by aneurysm rupture in neurofibromatosis patients.
Kazunori Arai; Junichiro Sanada; Akiko Kurozumi; Toshio Watanabe; Osamu Matsui
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  30     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2007 May-Jun
Date Detail:
Created Date:  2007-04-13     Completed Date:  2007-10-31     Revised Date:  2009-03-09    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  477-9     Citation Subset:  IM    
Department of Radiology, Kurobe City Hospital, 1108-1 Mikkaichi, Kurobe 938-0031, Japan.
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MeSH Terms
Aneurysm / radiography,  therapy*
Aneurysm, False / radiography,  therapy
Aneurysm, Ruptured / radiography,  therapy*
Embolization, Therapeutic / methods*
Fatal Outcome
Hemothorax / etiology,  radiography,  therapy*
Middle Aged
Neck / blood supply*
Neurofibromatoses / complications*,  radiography
Thoracic Wall / blood supply*
Tomography, X-Ray Computed
Vertebral Artery* / radiography
Comment In:
Cardiovasc Intervent Radiol. 2008 Nov-Dec;31(6):1260-1   [PMID:  18196332 ]

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