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Role of embolisation in the treatment of bronchopulmonary sequestration
1Department of Paediatric Radiology, Hôpital Necker Enfants Malades, Paris, France.
Insights
Embolisation of the feeding artery effectively treats pediatric bronchopulmonary sequestration. This minimally invasive procedure offers a potential standalone solution for this congenital lung malformation.
Area of Science:
- Pediatric Surgery
- Interventional Radiology
- Congenital Malformations
Background:
- Bronchopulmonary sequestration (BPS) are congenital lung malformations.
- Antenatal diagnosis is increasing.
- Treatment for asymptomatic BPS is debated due to potential spontaneous regression.
Purpose of the Study:
- To assess the effectiveness of embolizing the systemic artery feeding bronchopulmonary sequestration.
Main Methods:
- Sixteen children diagnosed with BPS underwent endovascular embolization of the feeding systemic artery.
Main Results:
- Ten patients achieved cure solely through embolization.
- One patient required surgery post-embolization.
- Three patients showed partial regression; two remain under observation.
Conclusions:
- Embolization of the feeding systemic artery is a viable and potentially curative treatment for pediatric bronchopulmonary sequestration.
Background:
Sequestrations represent bronchopulmonary malformations that are increasingly diagnosed antenatally. After birth, the therapeutic approach in asymptomatic children is debated, as some may spontaneously regress.
Objective:
To evaluate the efficacy of embolisation of the feeding systemic artery in the treatment of bronchopulmonary sequestration.
Materials And Methods:
Sixteen children with bronchopulmonary sequestration were treated by endovascular embolisation of the feeding systemic artery.
Results:
Ten patients were considered cured by embolisation alone. One patient was operated on after unsuccessful embolisation, three had partial regression of the lung mass and two are still under follow-up.
Conclusions:
Our experience indicates that bronchopulmonary sequestrations in children can be treated by embolisation alone.