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Multiple Enlarged Aneurysms in Primary Racemose Hemangioma of the Bronchial Artery: Successful Prophylactic Transcatheter Arterial Embolization Using N-butyl-2-cyanoacrylate and Coils

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Abstract

An asymptomatic 48-year-old man presented with multiple aneurysms in a primary racemose hemangioma of the right bronchial artery. Bronchial arteriography revealed a tortuous artery with four fusiform aneurysms of varying sizes and aneurysmal dilatation with marked thrombus formation in the long segment of the distal portion. Because the tip of catheter could not pass beyond the aneurysmal dilatation, we performed balloon-occluded embolization using a mixture of N-butyl-2-cyanoacrylate (NBCA) and iodized oil. For four other aneurysms, we performed embolization using a coil alone or with NBCA. After 6 months, right bronchial arteriography revealed no enhancement of the aneurysms. Despite the rarity of this procedure, embolization with NBCA is a good option for bronchial artery aneurysm embolization.

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Authors and Affiliations

  1. Department of Radiology, Chiba University Hospital, 1-8-1, Inohana, Chuo-ku, Chiba City, Chiba, 260-8677, Japan

    Atsushi Saiga, Satoshi Tsuchiya, Akira Nishiyama, Yoshihiro Kubota, Takuro Horikoshi & Takashi Uno

  2. Department of Respirology, Chiba University Hospital, 1-8-1, Inohana, Chuo-ku, Chiba City, Chiba, 260-8677, Japan

    Toshihiko Sugiura

  3. Department of Radiology, Japanese Red Cross Narita Hospital, 90-1, Iida-cho, Narita City, Chiba, 286-8523, Japan

    Takashi Higashide

  4. Department of Diagnostic Radiology and Radiation Oncology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana Chuo-ku, Chiba City, Chiba, 260-8670, Japan

    Atsushi Saiga

Authors
  1. Atsushi Saiga
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  2. Toshihiko Sugiura
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  3. Takashi Higashide
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  4. Satoshi Tsuchiya
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  5. Akira Nishiyama
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  6. Yoshihiro Kubota
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  7. Takuro Horikoshi
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  8. Takashi Uno
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Correspondence to Atsushi Saiga.

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This article does not contain any studies with human participants or animals performed by any of the authors. For this type of study, formal consent is not required.

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Informed consent was obtained from the patient in the study.

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Saiga, A., Sugiura, T., Higashide, T. et al. Multiple Enlarged Aneurysms in Primary Racemose Hemangioma of the Bronchial Artery: Successful Prophylactic Transcatheter Arterial Embolization Using N-butyl-2-cyanoacrylate and Coils. Cardiovasc Intervent Radiol 41, 811–815 (2018). https://doi.org/10.1007/s00270-018-1878-3

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  • DOI: https://doi.org/10.1007/s00270-018-1878-3

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