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Indian J Radiol Imaging. 2010 Aug;20(3):221-3. doi: 10.4103/0971-3026.69363.

Predilatation of a stenotic ostium of a bronchial artery, followed by embolization in recurrent hemoptysis.

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1
Department of Radiology, Kovai Medical Center and Hospital, Avinashi Road, Coimbatore, Tamil Nadu - 641 014, India.

Abstract

Bronchial artery embolization may be the only life-saving procedure available in a patient presenting with massive hemoptysis. Rarely, selective catheterization of these vessels may be rendered difficult due to a stenotic ostium. This may result in closure of the vessel or absence of forward flow after the stenotic segment is crossed with a diagnostic catheter or a microcatheter. Further, it may also lead to recurrence of hemoptysis if the distal vessel and the prearteriolar bed are inadequately embolized. We describe a technique of selective cannulation of the stenotic vessel, dilatation of the stenosis and then successful embolization.

KEYWORDS:

Bronchial artery embolisation; hemoptysis; ostial stenosis

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