Massive hemoptysis from pulmonary artery pseudoaneurysm caused by lung radiofrequency ablation: successful treatment by coil embolization

Cardiovasc Intervent Radiol. 2010 Apr;33(2):410-2. doi: 10.1007/s00270-009-9564-0. Epub 2009 May 5.

Abstract

A 75-year-old man received lung radiofrequency (RF) ablation to treat lung metastases from hepatocellular carcinoma. Massive hemoptysis occurred 1 week after lung RF ablation. Emergent contrast-enhanced CT and pulmonary arteriography revealed a pulmonary artery pseudoaneurysm, which was embolized with coils. The postembolization course was uneventful. Hemoptysis did not recur for 5 months.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology*
  • Aneurysm, False / therapy*
  • Angiography / methods
  • Carcinoma, Hepatocellular / secondary
  • Carcinoma, Hepatocellular / surgery
  • Catheter Ablation / adverse effects*
  • Catheter Ablation / methods
  • Contrast Media
  • Embolization, Therapeutic / instrumentation*
  • Embolization, Therapeutic / methods
  • Follow-Up Studies
  • Hemoptysis / diagnostic imaging
  • Hemoptysis / etiology*
  • Hemoptysis / therapy
  • Humans
  • Liver Neoplasms / pathology
  • Liver Neoplasms / surgery
  • Lung Neoplasms / secondary
  • Lung Neoplasms / surgery
  • Male
  • Pneumonectomy / adverse effects
  • Pneumonectomy / methods
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / injuries*
  • Radiography, Interventional / methods
  • Risk Assessment
  • Severity of Illness Index
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome

Substances

  • Contrast Media