Pulmonary artery pseudoaneurysms: a single-center experience of endovascular occlusion

Abstract The technique and outcomes of pulmonary artery pseudoaneurysm (PAP) embolization was retrospectively evaluated in 13 patients undergoing 14 PAP embolizations between January 2014 and September 2023. The etiology of the PAP was iatrogenic (4/13), tumor (3/13), chronic lung (2/13), idiopathic...

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Main Authors: Adam Fish, Anne Sailer, Jeffrey Pollak, Todd Schlachter
Format: Article
Language:English
Published: SpringerOpen 2023-12-01
Series:CVIR Endovascular
Online Access:https://doi.org/10.1186/s42155-023-00411-9
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author Adam Fish
Anne Sailer
Jeffrey Pollak
Todd Schlachter
author_facet Adam Fish
Anne Sailer
Jeffrey Pollak
Todd Schlachter
author_sort Adam Fish
collection DOAJ
description Abstract The technique and outcomes of pulmonary artery pseudoaneurysm (PAP) embolization was retrospectively evaluated in 13 patients undergoing 14 PAP embolizations between January 2014 and September 2023. The etiology of the PAP was iatrogenic (4/13), tumor (3/13), chronic lung (2/13), idiopathic (2/13) and mycotic (2/13). Clinical presentation was massive hemorrhage (6/13), incidental (4/13), and non-massive hemoptysis (3/13). The average PAP size was 13.5 mm. Coil embolization of the PAP sac was performed in all but two extenuating cases (11/13). Follow-up of 12 patients over an average 5.3-months showed persistent occlusion in all cases. There were no major adverse events attributed to the embolization. Five out of ten patients with procedures performed at least one year before this study were noted to be deceased after an average seven-month time. PAPs of various etiologies may be safely and effectively treated by occluding the aneurysm inflow, outflow, and sac.
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spelling doaj.art-ffd969eec6cb4ae5b85eaf8c8c70e42e2023-12-03T12:37:37ZengSpringerOpenCVIR Endovascular2520-89342023-12-01611610.1186/s42155-023-00411-9Pulmonary artery pseudoaneurysms: a single-center experience of endovascular occlusionAdam Fish0Anne Sailer1Jeffrey Pollak2Todd Schlachter3Department of Interventional Radiology, Yale School of MedicineDepartment of Interventional Radiology, Yale School of MedicineDepartment of Interventional Radiology, Yale School of MedicineDepartment of Interventional Radiology, Yale School of MedicineAbstract The technique and outcomes of pulmonary artery pseudoaneurysm (PAP) embolization was retrospectively evaluated in 13 patients undergoing 14 PAP embolizations between January 2014 and September 2023. The etiology of the PAP was iatrogenic (4/13), tumor (3/13), chronic lung (2/13), idiopathic (2/13) and mycotic (2/13). Clinical presentation was massive hemorrhage (6/13), incidental (4/13), and non-massive hemoptysis (3/13). The average PAP size was 13.5 mm. Coil embolization of the PAP sac was performed in all but two extenuating cases (11/13). Follow-up of 12 patients over an average 5.3-months showed persistent occlusion in all cases. There were no major adverse events attributed to the embolization. Five out of ten patients with procedures performed at least one year before this study were noted to be deceased after an average seven-month time. PAPs of various etiologies may be safely and effectively treated by occluding the aneurysm inflow, outflow, and sac.https://doi.org/10.1186/s42155-023-00411-9
spellingShingle Adam Fish
Anne Sailer
Jeffrey Pollak
Todd Schlachter
Pulmonary artery pseudoaneurysms: a single-center experience of endovascular occlusion
CVIR Endovascular
title Pulmonary artery pseudoaneurysms: a single-center experience of endovascular occlusion
title_full Pulmonary artery pseudoaneurysms: a single-center experience of endovascular occlusion
title_fullStr Pulmonary artery pseudoaneurysms: a single-center experience of endovascular occlusion
title_full_unstemmed Pulmonary artery pseudoaneurysms: a single-center experience of endovascular occlusion
title_short Pulmonary artery pseudoaneurysms: a single-center experience of endovascular occlusion
title_sort pulmonary artery pseudoaneurysms a single center experience of endovascular occlusion
url https://doi.org/10.1186/s42155-023-00411-9
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