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Interlocking detachable coil embolization for giant tandem bronchial aneurysms: A case report
Yingjie Chen1,2, Wei Qin2,3, Ziyang Zhu2,3
1School of Medicine, Jianghan University.
Medicine
|December 23, 2021
Summary
This study reports a rare case of giant tandem bronchial artery aneurysms successfully treated with coil embolization. The intervention prevented recurrence of hemoptysis, demonstrating an effective management strategy for this life-threatening condition.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Pulmonary Medicine
Background:
- Bronchial artery aneurysm (BAA) is a rare condition with a high risk of rupture.
- Tandem bronchial artery aneurysms present unique management challenges due to their rarity and complexity.
Observation:
- A 46-year-old woman presented with intermittent hemoptysis.
- Computed tomographic angiography revealed two bronchial artery aneurysms in tandem with pulmonary artery fistulas and an additional aneurysm near the aorta.
Findings:
- Giant tandem bronchial aneurysms were confirmed via CT angiography.
- Successful embolization was achieved using nine interlocking detachable coils and eleven standard pushable coils.
- Post-embolization CT angiography confirmed optimal coil placement and no recurrence of hemoptysis at follow-up.
Implications:
- Aggressive treatment of symptomatic bronchial artery aneurysms is crucial.
- Coil embolization is a viable and effective treatment for complex cases of bronchial artery aneurysms.
- This case highlights successful management of a rare and potentially fatal vascular condition.
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