Medical image of the week: bronchial artery embolization

Southwest Journal of Pulmonary and Critical Care

Chaudhary S¹  Jarrett BJ¹ 

[1] University of Arizona, Tucson, AZ USA;

关键词: bronchial artery embolization. embolization;    hemoptysis;    treatment;    Onyx;    chest x-ray;    CT scan;    Valley fever;    coccidioidomycosis;    ethylene vinyl alcohol;    ethylene vinyl alcohol polymer;   

DOI  :  10.13175/swjpcc053-16

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated after 150 words. A 25-year-old woman with a past medical history significant for pulmonary coccidioidomycosis and poorly controlled type I diabetes mellitus presented to the emergency department with a chief complaint of 4 days of progressively worsening shortness of breath and 3-4 days of intermittent hemoptysis. Initial CT scan demonstrated progressive tree-in-bud and ground glass opacities in the right upper and lower lung lobes suggesting worsening of her ongoing coccidiomycosis (Figure 1). On hospital day 3 she began to have worsening hypoxemia and hemoptysis requiring transfer to the intensive care unit. Interventional radiology was consulted who performed an emergent right sided bronchial artery embolization with the ethylene vinyl alcohol polymer, Onyxtm. After embolization her chest radiographs demonstrated evidence of the embolization material in the pulmonary vasculature (Figure 2). Ethylene vinyl alcohol polymer, Onyxtm is a liquid embolic substance which solidifies after contact with ionic materials (1). This results in a rapid, irreversible and ...

【 授权许可】

Unknown