Embolization of the Pulmonary Artery



Fig. 5.1
Pulmonary pedicle (pulmonary arteries)



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Fig. 5.2
Repeated hemoptysis, consequence of a bleeding single right basal PAVM. (a) Axial MIP thick CT scan: voluminous PAVM, with indentified afferent artery and efferent vein. (b, c) Pulmonary angiography (frontal (1–2) and lateral (1–3) views), well correlated with CT data: voluminous mediobasal feeding artery, large saccular aneurysm, and early venous flow. (d) Control angio after endovascular exclusion using AVP occluder, delivered just upstream the sac


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Fig. 5.3
Right basal bronchial cancer: massive hemoptysis. (a, b) CT: bleeding pulmonary, a false aneurysm. (c) Selective right pulmonary angiography: false aneurysm caused by tumoral erosion. (d) Exclusion with AVP (arrow)


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Fig. 5.4
16-year-old, family history of Rendu-Osler-Weber syndrome: hypoxia, severe left–right shunt, and pulmonary hypertension. (ac) MIP: multiple PAVMs, of which the most voluminous in the right inferior lobe. (d, e) Right selective pulmonary angio: large middle lobe PAVM. Arterial phase (d) and then massive early venous flow (e). (f) Selective right inferior lobar injection: at least 2 other PAVMs. (g) First session: middle lobe PAVM AVP exclusion. Left shunts have been secondarily treated (delay between the 2 procedures: 2 months). (hj) Angio CT 6 months after the last embolization session

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Mar 4, 2017 | Posted by in CARDIOLOGY | Comments Off on Embolization of the Pulmonary Artery

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