Transcatheter Proximal Coil Blocking with n-Butyl-2-Cyanoacrylate Injection via the Pulmonary Artery Alone for Rasmussen’s Aneurysm

Rasmussen’s aneurysm is a peripheral pulmonary artery pseudoaneurysm (PAP) within a tuberculosis cavity. Because it can be perfused from the bronchial and pulmonary arterial circulations, combined embolization via the bronchial and pulmonary arteries is sometimes required. Herein, we present case of...

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Main Authors: Atsushi Ugajin, Hiroyuki Fujii, Hiroyasu Nakamura, Akifumi Fujita, Takahiro Sasaki, Naoko Mato, Hideharu Sugimoto
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2019/1725238
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author Atsushi Ugajin
Hiroyuki Fujii
Hiroyasu Nakamura
Akifumi Fujita
Takahiro Sasaki
Naoko Mato
Hideharu Sugimoto
author_facet Atsushi Ugajin
Hiroyuki Fujii
Hiroyasu Nakamura
Akifumi Fujita
Takahiro Sasaki
Naoko Mato
Hideharu Sugimoto
author_sort Atsushi Ugajin
collection DOAJ
description Rasmussen’s aneurysm is a peripheral pulmonary artery pseudoaneurysm (PAP) within a tuberculosis cavity. Because it can be perfused from the bronchial and pulmonary arterial circulations, combined embolization via the bronchial and pulmonary arteries is sometimes required. Herein, we present case of a 51-year-old man with Rasmussen’s aneurysm that was successfully treated by proximal coil blocking with n-butyl-2-cyanoacrylate (NBCA) injection via the pulmonary artery alone. With proximal coil blocking, a sufficient amount of NBCA could be injected without unintended reflux of the NBCA cast to the proximal pulmonary artery. To our knowledge, there has been no report that attempted NBCA injection under proximal coil blocking for Rasmussen’s aneurysm. Our treatment approach may be safe and effective for infectious lung disease-related PAP, which has to be treated from the pulmonary artery side.
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institution Kabale University
issn 2090-6862
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language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Radiology
spelling doaj-art-eb4b676da24e492d967c4b23f728857f2025-02-03T01:33:17ZengWileyCase Reports in Radiology2090-68622090-68702019-01-01201910.1155/2019/17252381725238Transcatheter Proximal Coil Blocking with n-Butyl-2-Cyanoacrylate Injection via the Pulmonary Artery Alone for Rasmussen’s AneurysmAtsushi Ugajin0Hiroyuki Fujii1Hiroyasu Nakamura2Akifumi Fujita3Takahiro Sasaki4Naoko Mato5Hideharu Sugimoto6Department of Radiology, Jichi Medical University, School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, JapanDepartment of Radiology, Jichi Medical University, School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, JapanDepartment of Radiology, Jichi Medical University, School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, JapanDepartment of Radiology, Jichi Medical University, School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, JapanDivision of Pulmonary Medicine, Department of Internal Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, JapanDivision of Pulmonary Medicine, Department of Internal Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, JapanDepartment of Radiology, Jichi Medical University, School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, JapanRasmussen’s aneurysm is a peripheral pulmonary artery pseudoaneurysm (PAP) within a tuberculosis cavity. Because it can be perfused from the bronchial and pulmonary arterial circulations, combined embolization via the bronchial and pulmonary arteries is sometimes required. Herein, we present case of a 51-year-old man with Rasmussen’s aneurysm that was successfully treated by proximal coil blocking with n-butyl-2-cyanoacrylate (NBCA) injection via the pulmonary artery alone. With proximal coil blocking, a sufficient amount of NBCA could be injected without unintended reflux of the NBCA cast to the proximal pulmonary artery. To our knowledge, there has been no report that attempted NBCA injection under proximal coil blocking for Rasmussen’s aneurysm. Our treatment approach may be safe and effective for infectious lung disease-related PAP, which has to be treated from the pulmonary artery side.http://dx.doi.org/10.1155/2019/1725238
spellingShingle Atsushi Ugajin
Hiroyuki Fujii
Hiroyasu Nakamura
Akifumi Fujita
Takahiro Sasaki
Naoko Mato
Hideharu Sugimoto
Transcatheter Proximal Coil Blocking with n-Butyl-2-Cyanoacrylate Injection via the Pulmonary Artery Alone for Rasmussen’s Aneurysm
Case Reports in Radiology
title Transcatheter Proximal Coil Blocking with n-Butyl-2-Cyanoacrylate Injection via the Pulmonary Artery Alone for Rasmussen’s Aneurysm
title_full Transcatheter Proximal Coil Blocking with n-Butyl-2-Cyanoacrylate Injection via the Pulmonary Artery Alone for Rasmussen’s Aneurysm
title_fullStr Transcatheter Proximal Coil Blocking with n-Butyl-2-Cyanoacrylate Injection via the Pulmonary Artery Alone for Rasmussen’s Aneurysm
title_full_unstemmed Transcatheter Proximal Coil Blocking with n-Butyl-2-Cyanoacrylate Injection via the Pulmonary Artery Alone for Rasmussen’s Aneurysm
title_short Transcatheter Proximal Coil Blocking with n-Butyl-2-Cyanoacrylate Injection via the Pulmonary Artery Alone for Rasmussen’s Aneurysm
title_sort transcatheter proximal coil blocking with n butyl 2 cyanoacrylate injection via the pulmonary artery alone for rasmussen s aneurysm
url http://dx.doi.org/10.1155/2019/1725238
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