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Updated: Apr 21, 2026

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis

Published on: August 26, 2025

Endovascular intervention in thoracic surgery.

Anupama Barua¹, Simon McPherson², Nilanjan Chaudhuri³

¹Department of Thoracic Surgery, St. James's University Hospital NHS Trust, Leeds, UK dmcanupama@hotmail.com.

Asian Cardiovascular & Thoracic Annals

|November 6, 2014

Summary

Endovascular therapy, like coil embolization, can be used before thoracic surgery to control bleeding. This approach may reduce hemorrhage risk in patients undergoing chest procedures.

Keywords:

Bronchopulmonary sequestration embolization endovascular procedures hematoma nonpenetrating therapeutic thoracic injuries wounds

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Last Updated: Apr 21, 2026

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis

Published on: August 26, 2025

Area of Science:

Thoracic Surgery
Vascular Interventions
Interventional Radiology

Background:

Limited data exists on endovascular treatment for thoracic surgical patients.
Preoperative endovascular intervention can potentially mitigate surgical risks.

Observation:

Two patients with thoracic conditions requiring surgery received endovascular therapy.
One patient had recurrent chest infection due to systemic blood supply to intralobar sequestration.
The other patient had an internal mammary vein avulsion injury.

Findings:

Coil embolization was successfully used in both cases to address vascular abnormalities.
Both patients proceeded to uncomplicated thoracic surgery post-embolization.

Implications:

Endovascular intervention is a viable option for managing active thoracic bleeding.
This technique can reduce operative hemorrhage risk in select thoracic surgical candidates.