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      Anterior Spinal Artery Syndrome as Complication of Bronchial Artery Embolization

      Author(s): , ,
      Publication date Created:
      Publication date (Electronic):
      Journal: Canadian Journal of General Internal Medicine
      Publisher: Dougmar Publishing Group, Inc.

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          Abstract

          Bronchial artery embolization (BAE) has risen as one of the cornerstones of massive hemoptysis management. Though rare, spinal cord infarction is a potential complication. Here, we present a case of a 65 year old gentleman who presented with acute weakness and was diagnosed with spinal cord infarction following BAE. This case will also review the pathophysiology of this adverse complication.

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          Bronchial artery embolization for hemoptysis.

          Andrew T. Smith, David Sopko (2011)
          Bronchial artery angiography with embolization has become a mainstay in the treatment of hemoptysis. Major complications are rare and immediate clinical success defined as cessation of hemorrhage ranges in most series from 85% to 100%, although recurrence of hemorrhage ranges from 10% to 33%. Bronchial artery embolization offers a minimally invasive procedure for even the most compromised patient serving as first-line treatment for hemorrhage as well as providing a bridge to more definitive medical or surgical intervention focused upon the etiology of the hemorrhage. The aim of this article is to summarize the etiologies, pathophysiology, and the diagnostic and management strategies of hemoptysis as related to bronchial artery embolization. In addition, the techniques of arteriography and embolization as well as associated procedural outcomes and complications are delineated.
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            Bronchial Artery Embolization

            Charles T. Burke, Matthew A Mauro (2004)
            Article 0 comments Cited 12 times – based on 0 reviews     Review now
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              Vascular intervention in the thorax: bronchial artery embolization for haemoptysis.

              T Marshall, Sophie E. Jackson (1996)
              Massive haemoptysis is defined as the expectoration of more than 600 mls of blood in 48 h. Many patients are not surgical candidates because of the presence of severe bilateral pulmonary disease and these individuals are best managed by bronchial artery embolization. Occlusion of both the bronchial arteries and hypertrophied non-bronchial systemic arteries is essential if bleeding is to be controlled. A pulmonary arterial source of haemorrhage is uncommon but should always be considered in a patient who has further haemoptyses shortly after a technically successful embolization of bronchial and non-bronchial systemic arteries. The immediate control of haemorrhage is achieved in the majority of patients although subsequent rebleeding on longterm follow-up is not uncommon.
              Article 0 comments Cited 12 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Title: Canadian Journal of General Internal Medicine
                Abbreviated Title: Can Journ Gen Int Med
                Publisher: Dougmar Publishing Group, Inc.
                ISSN (Electronic): 2369-1778
                ISSN (Print): 1911-1606
                Publication date Created: November 13 2018
                Publication date (Electronic): October 12 2018
                Volume: 13
                Issue: 4
                Pages: e25-e27
                Article
                DOI: 10.22374/cjgim.v13i4.260
                SO-VID: 9e072f5d-2e0a-44f1-b0fd-4574756463db
                Copyright © © 2018
                License:

                Copyright of articles published in all DPG titles is retained by the author. The author grants DPG the rights to publish the article and identify itself as the original publisher. The author grants DPG exclusive commercial rights to the article. The author grants any non-commercial third party the rights to use the article freely provided original author(s) and citation details are cited. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0/

                History

                ScienceOpen disciplines: General medicine,Geriatric medicine,Neurology,Internal medicine
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                ScienceOpen disciplines: General medicine, Geriatric medicine, Neurology, Internal medicine

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