Saiga Atsushi, Sugiura Toshihiko, Higashide Takashi, Tsuchiya Satoshi, Nishiyama Akira, Kubota Yoshihiro, Horikoshi Takuro, Uno Takashi
Department of Radiology, Chiba University Hospital, 1-8-1, Inohana, Chuo-ku, Chiba City, Chiba, 260-8677, Japan.
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.
Cardiovasc Intervent Radiol. 2018 May;41(5):811-815. doi: 10.1007/s00270-018-1878-3. Epub 2018 Jan 17.
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.
一名48岁无症状男性，其右支气管动脉原发性蔓状血管瘤内出现多个动脉瘤。支气管动脉造影显示一条迂曲的动脉，有4个大小各异的梭形动脉瘤，且在远端长段有动脉瘤样扩张并伴有明显血栓形成。由于导管尖端无法越过动脉瘤样扩张部位，我们使用N-丁基-2-氰基丙烯酸酯（NBCA）和碘化油的混合物进行了球囊闭塞栓塞术。对于另外4个动脉瘤，我们单独使用弹簧圈或联合NBCA进行了栓塞。6个月后，右支气管动脉造影显示动脉瘤无强化。尽管该手术罕见，但NBCA栓塞术是支气管动脉动脉瘤栓塞的一个良好选择。
