Selective gelfoam embolization of primary racemose haemangioma of the bronchial artery

Sanno, Ken; Hatanaka, Nobuyuki; Yamagishi, Toshiyuki; Nakazawa, Ichiro; Hirano, Yusuke; Hosaka, Kimio; Kamemura, Hirotaka

doi:10.1111/j.1440-1843.2009.01524.x

Cited by 9 publications

(5 citation statements)

References 6 publications

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“…Recurrence of hemoptysis can occur after embolization due to persistence of the remaining collateral blood circulation. 6,8 In conclusion, we reported a rare case of primary racemose hemangioma of the bronchial artery causing postoperative hemoptysis. In patients with unexplained hemoptysis, racemose hemangioma of the bronchial artery should be considered.…”

Section: Discussionmentioning

confidence: 73%

“…In other cases, balloon compression and laser phototherapy have been used. 5,6 Bronchial artery embolization is minimally invasive, can be performed quickly, and preserves function. 7 Thus, bronchial angiography is essential for diagnosis of this disease, and selective bronchial artery embolization has become the first-line treatment for this rare disease.…”

Section: Discussionmentioning

confidence: 99%

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Postoperative Hemorrhage From Racemose Hemangioma of the Bronchial Artery After Esophageal Cancer Surgery

Takebayashi

Tsubosa

Matsuda

et al. 2017

International Surgery

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Introduction: Racemose hemangioma of the bronchial artery is a rare disease. The diagnosis of racemose hemangioma is difficult when affected patients are asymptomatic, and causes unexplained hemoptysis. Selective bronchial artery embolization has become the first-line treatment for this rare disease. However, feasibility and safety of bronchial artery embolization was not reported in the case with permanent tracheostomy. Case presentation: A 44-year-old woman underwent endoscopic screening during which a circular tumor was detected in the cervical esophagus, which was confirmed as squamous cell carcinoma on biopsy. She underwent cervical esophagectomy with pharyngolaryngectomy through a cervical incision. Reconstruction was performed by free jejunal transfer and permanent tracheostomy. Six weeks after surgery, hemoptysis from permanent tracheostomy was observed. Computed tomography (CT) scan revealed no bleeding around the tracheostomy, and bronchoscopy could not identify the origin of the bleeding due to a large amount of blood clots obscuring the visual field. Bronchial arteriography showed a bent, meandering and dilated bronchial artery, extending to the right bronchus with vascular hyperplasia. We diagnosed primary racemose hemangioma of the bronchial artery, which was successfully treated by transcatheter arterial embolization of the bronchial artery. After embolization, bronchoscopy revealed no bleeding. Conclusion: Findings from this case suggest that bronchial angiography is essential for diagnosis of this disease, and selective bronchial artery embolization appears to be effective in treating this disease in patients with permanent tracheostomy.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Postoperative Hemorrhage From Racemose Hemangioma of the Bronchial Artery After Esophageal Cancer Surgery

Takebayashi

Tsubosa

Matsuda

et al. 2017

International Surgery

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“…In such cases, once the adrenal artery is selected, further selection of the tumor feeding artery is not difficult with a 2.7-Fr microcatheter and soft-tipped 0.014/0.018-inch guide wire. [29] It is also important to place the catheter into the most distal portion of the tumor feeding branch to avoid nontarget embolization; otherwise, complications can occur. In our study, the adrenal arteries all underwent superselective catheterization and embolization with a 2.7-Fr microcatheter, and there were no embolization-related complications.…”

Section: Discussionmentioning

confidence: 99%

Transarterial embolization/chemoembolization therapy for hepatocellular carcinoma fed by adrenal artery

Jia

et al. 2016

Medicine

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To assess the value of transarterial embolization/chemoembolization (TAE/TACE) therapy via adrenal artery for patients with hepatocellular carcinoma (HCC). Patients with HCC who underwent TAE/TACE therapy via adrenal artery between May 2003 and October 2015 across 4 medical centers were identified. Clinical information, procedural data, and imaging data were analyzed to assess technical success, disease control, and survival rates. A t test was used to compare the differences in serum alpha-fetoprotein before and after treatment. A total of 23 patients (23 men; mean age, 54.6 ± 7.5 years; range, 37–72 years) were included in this study. All tumors were located under the capsule of the liver and adjacent to the adrenal gland (median tumor diameter, 8.2 cm). Lesions fed by the adrenal artery were demonstrated during initial TAE/TACE in 7 patients and during repeat TAE/TACE in 16 patients. The superior, middle, and inferior adrenal arteries were involved in 14, 3, and 6 patients, respectively. The technical success rate was 100%. The disease control rate at 3 months was 100%, with partial tumor response seen in 16 (69.6%) patients and stable disease seen in 7 (30.4%) patients. The cumulative survival rate from the time of TAE/TACE was 100% at 1 year. There were no embolization-related complications. TAE/TACE therapy via the adrenal arteries can improve the therapeutic efficacy of TAE/TACE and reduce the incidence of HCC recurrence and/or presence of residual HCC.

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“…We reviewed the literature of similar cases where BAE was performed for RHBA since 2000, and extracted the following information: age, sex, chief complaint, location of bleeding point, endoscopic findings, and treatment to control bleeding [ 3 , 5 , 7 , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] ]. As a result, there were 16 cases of RHBA in 14 reports including the case presented in this report ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

A case of primary racemose hemangioma with endobronchial lesions demonstrating recurrent hemoptysis initially treated with bronchial arterial embolization

Imai

Kasai

Sugiura

et al. 2022

Respiratory Medicine Case Reports

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Selective gelfoam embolization of primary racemose haemangioma of the bronchial artery

Cited by 9 publications

References 6 publications

Postoperative Hemorrhage From Racemose Hemangioma of the Bronchial Artery After Esophageal Cancer Surgery

Postoperative Hemorrhage From Racemose Hemangioma of the Bronchial Artery After Esophageal Cancer Surgery

Transarterial embolization/chemoembolization therapy for hepatocellular carcinoma fed by adrenal artery

A case of primary racemose hemangioma with endobronchial lesions demonstrating recurrent hemoptysis initially treated with bronchial arterial embolization

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