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DOI: 10.1055/s-0044-1785932
The Safety and Efficacy of Bronchial Artery Embolization for Lung Lesions with Low Flow A-V Shunting Using Particles Only: A Single-Center Experience
Authors
Purpose: Our study expands on the safety and effectiveness of BAE in lung lesions with low flow arterio-venous shunting/bronchial-pulmonary shunting.
Materials and Methods: 55 hemoptysis patients (35 males) underwent BAE between 2018 and 2023. Mean age 54 ± 2 years. Selective catheterization of the pathologically hypertrophied bronchial artery revealed early slow filling of the pulmonary vein denoting associated AV shunting through the bed of the lesions. Bronchial artery was embolized successfully with 500–900 µm PVA particles.
Results: Technical success was 100%. Mean follow up period was 180 days. 3 patients developed rebleeding and underwent another session of embolization. 15 subjects were lost to follow-up.
Conclusion: BAE with large particles is safe in lesions with low flow bronchopulmonary shunts with high technical and clinical success rate and no major complications.
Publikationsverlauf
Artikel online veröffentlicht:
02. April 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
Stuttgart · New York