Hemoptysis after Lung Transplantation Caused by Bronchial Arterial Neovascularization: Angiographic Analysis and Successful Embolization |
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| Authors: | Arno Vanstapel Ruben Vandenbulcke Adriana Dubbeldam Johny Verschakelen Birgit Weynand Laurent Godinas Geert Maleux Geert M. Verleden Robin Vos |
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| Affiliation: | 1. Department of Chronic Diseases and Metabolism, Laboratory of Respiratory Diseases and Thoracic Surgery, Katholieke Universiteit Leuven, Herestraat 49, B-3000 Leuven, Belgium;2. Department of Imaging and Pathology, Katholieke Universiteit Leuven, Herestraat 49, B-3000 Leuven, Belgium;3. Department of Radiology, University Hospitals Leuven, Leuven, Belgium;4. Department of Respiratory Diseases, Lung Transplantation Unit, University Hospitals Leuven, Leuven, Belgium |
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| Abstract: | This report discusses 3 bilateral lung transplant recipients (2 female, 1 male) who presented with late hemoptysis (10 y, 18 y, and 19 y after transplantation). All patients had a history of pulmonary infections, bronchiectasis, and/or Aspergillus infection. Arteriography, through catherization of the common femoral artery, demonstrated spontaneous bronchial and systemic neovascularization arising from the thyrocervical trunk, internal thoracic artery, intercostal arteries, and dorsal scapular artery. Embolization was performed with microspheres, polyvinyl alcohol microparticles, and/or glue and effectively terminated hemoptysis. One patient died 10 d later as a result of fungal infection, and the 2 others remained in stable condition (18- and 26-mo postembolization follow-up available). |
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| Keywords: | BA" },{" #name" :" keyword" ," $" :{" id" :" kwrd0015" }," $$" :[{" #name" :" text" ," _" :" bronchial artery |
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