Transcatheter embolization of a Rasmussen aneurysm via pulmonary artery with n-butyl cyanoacrylate and iodized oil mixture injection with balloon occlusion

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Transcatheter embolization of a Rasmussen aneurysm via pulmonary artery with n-butyl cyanoacrylate and iodized oil mixture injection with balloon occlusion Yukichi Tanahashi, MD, Hiroshi Kondo, MD, Marie Osawa, MD, Takahiro Yamamoto, MD, Masao Yamaguchi, MD, Shigeru Furui, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 2, Issue 4, Pages 161-164 (December 2016) DOI: 10.1016/j.jvscit.2016.09.008 Copyright © 2016 The Authors Terms and Conditions

Fig 1 A, Axial unenhanced computed tomography (CT) image shows high-attenuation fluid collection in upper lobe of the left lung affected by cavitary tuberculosis (arrow). B, Contrast-enhanced axial CT image shows a peripheral pseudoaneurysm in fluid collection (arrow). Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 161-164DOI: (10.1016/j.jvscit.2016.09.008) Copyright © 2016 The Authors Terms and Conditions

Fig 2 A, Left bronchial arteriogram shows the pseudoaneurysm via bronchopulmonary anastomosis (arrow). B, Superior lingular arteriogram with flow control by proximal balloon occlusion shows the pseudoaneurysm (arrow) and bronchial artery (arrowhead) in retrograde fashion via bronchial artery-to-pulmonary artery shunting at the lesion. C, Digital angiographic image shows delivery of the mixture of n-butyl cyanoacrylate (NBCA) and Lipiodol (Laboratoire Andre Guerbet, Tokyo, Japan) to the pulmonary artery branch, pseudoaneurysm (arrow), and bronchial artery (arrowhead) in retrograde fashion via bronchial artery-to-pulmonary artery shunting at the lesion. D, Superior lingular arteriogram obtained immediately after transarterial embolization shows disappearance of the pseudoaneurysm. E, Left bronchial arteriogram after transarterial embolization shows disappearance of the pseudoaneurysm. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 161-164DOI: (10.1016/j.jvscit.2016.09.008) Copyright © 2016 The Authors Terms and Conditions

Fig 3 A, This schematic diagram shows embolization of systemic artery alone for the treatment of peripheral pulmonary artery pseudoaneurysm (PAP) which are not visualized on the pulmonary arteriogram. B, Schematic diagram shows embolization of the systemic artery and pulmonary artery (PA) for the treatment of PAP, which are visualized on the pulmonary arteriogram. C, Schematic diagram shows embolization of PAP and the systemic artery-to-PA anastomosis with liquid embolic material with balloon occlusion in retrograde fashion. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 161-164DOI: (10.1016/j.jvscit.2016.09.008) Copyright © 2016 The Authors Terms and Conditions