Endovascular Plug for Endobronchial Management of an Expectorated Pulmonary Artery Embolization Coil: A Case Report

被引：0
|
作者：
Crawford, Jesse M. [1 ]
Patel, Priya P. [2 ]
DuCoffe, Aaron R. [3 ]
Tsai, Michael [1 ]
Hodgson, John A. [1 ,4 ]
机构：
[1] Walter Reed Natl Mil Med Ctr, Dept Anesthesiol, 8901 Rockville Pike, Bethesda, MD 20814 USA
[2] INOVA Fairfax Hosp, Dept Intervent Pulmonol, Fairfax, VA USA
[3] INOVA Fairfax Hosp, Dept Intervent Radiol, Fairfax, VA USA
[4] INOVA Fairfax Hosp, Dept Anesthesiol, Fairfax, VA USA
来源：
A & A PRACTICE | 2023年 / 17卷 / 02期
关键词：
D O I：
10.1213/XAA.0000000000001663
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Pulmonary artery aneurysms are frequently managed with endovascular embolization. Rare but serious complications of coil embolization are erosion and migration of the coils into the adjacent airways, posing a risk for massive hemoptysis. We report the case of a medically complex patient with a left main pulmonary artery aneurysm treated with coil embolization who ultimately experienced transbronchial migration and expectoration of the coil. We discuss the challenging anesthetic and surgical management of these serious complications, including the use of an endovascular plug to occlude the erosion site and distal airways.
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页数：3
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