Mattay Raghav R, Shlansky-Goldberg Richard, Pukenas Bryan A
Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, USA.
CVIR Endovasc. 2021 Jan 5;4(1):4. doi: 10.1186/s42155-020-00200-8.
Although not standard of care, Cystic Fibrosis patients with recurrent hemoptysis occasionally have coil embolization of bronchial arteries. In the event of recanalization of these arteries in this specific subset of patients, the presence of indwelling coils makes the prospect of conventional particle embolization more difficult, preventing both adequate catheterization of the coiled segment and reflux of the particles.
In this report, we describe a case of bronchial artery embolization of a complex Cystic Fibrosis patient with massive hemoptysis from recanalized coiled bronchial arteries utilizing a Scepter Balloon Catheter® (Microvention Terumo, USA) in administration of the liquid embolic agent Onyx® (Medtronic, USA).
The Scepter occlusion balloon catheter allowed for careful placement of the tip within the interstices of the pre-existing coils, allowing for Onyx injection directly into the coil mass without reflux, reconfirming the benefits of Onyx embolization in bronchial artery embolization and providing evidence that the Scepter occlusion balloon catheter should be added to the armamentarium of devices used in complex bronchial artery embolization for Cystic Fibrosis patients with massive hemoptysis.
尽管并非标准治疗方法，但患有反复咯血的囊性纤维化患者偶尔会接受支气管动脉线圈栓塞术。在这些特定患者亚组中，如果这些动脉再通，留置的线圈会使传统颗粒栓塞术更具难度，既妨碍对盘绕段进行充分的导管插入，又会阻止颗粒反流。
在本报告中，我们描述了一例复杂囊性纤维化患者支气管动脉栓塞的病例，该患者因再通的盘绕支气管动脉出现大量咯血，我们使用Scepter球囊导管（美国Microvention Terumo公司）注入液体栓塞剂Onyx（美国美敦力公司）。
Scepter闭塞球囊导管能够将尖端小心地放置在原有线圈的间隙内，使Onyx能够直接注入线圈团块而无反流，再次证实了Onyx栓塞术在支气管动脉栓塞中的益处，并提供了证据表明应将Scepter闭塞球囊导管纳入用于患有大量咯血的囊性纤维化患者复杂支气管动脉栓塞的器械库中。
