Transcatheter embolization of a large aberrant systemic artery to an intralobar pulmonary sequestration using an Amplatzer vascular plug in an adolescent

Berthod, Pierre-Emmanuel; Chevallier, Olivier; Pottecher, Pierre; Gehin, Sophie; Sapin, Emmanuel; Loffroy, Romaric

doi:10.21037/qims.2016.11.04

Cited by 7 publications

(6 citation statements)

References 8 publications

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“…La embolización exitosa como tratamiento definitivo ha sido reportada con el uso de partículas de polivinilo-alcohol (PVA) 11 , el empleo combinado de PVA con micro coils, empleo exclusivo de micro coils, gel foam para oclusión de los vasos distales y posterior oclusión del tronco nutricio con micro coils, uso de dispositivo Amplatzer y exclusión endovascular con colocación de stent-graft 9,12,13 , siendo el empleo de micro coils el material mayormente escogido en los casos reportados 14 .…”

Section: Discussionunclassified

Tratamiento endovascular de secuestro broncopulmonar intralobar

Torres-Cuevas¹,

Hernández-Moreno²,

Basanta-Bergolla³

et al. 2022

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El secuestro pulmonar intralobar constituye una entidad rara, de difícil diagnóstico dada su variable presentación y la heterogenicidad de los síntomas. Se presenta el caso de una paciente de sexo femenino de 40 años de edad, con antecedentes de bronconeumonías de repetición, a la cual se le diagnosticó un secuestro pulmonar. El tratamiento clásico ha sido mediante cirugía torácica abierta, sin embargo, se decidió optar por la embolización arterial transcatéter como tratamiento definitivo, utilizando embosferas y micro coils, obteniéndose buenos resultados posprocedimiento. La embolización arterial transcatéter constituye una modalidad terapéutica definitiva en desarrollo que debe considerarse como alternativa ante el tratamiento quirúrgico en este tipo de lesiones.

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Section: Discussionunclassified

Tratamiento endovascular de secuestro broncopulmonar intralobar

Torres-Cuevas¹,

Hernández-Moreno²,

Basanta-Bergolla³

et al. 2022

ARM

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“…However, despite the recent increase in the application of the thoracoscopic approach [video-assisted thoracoscopic surgery (VATS)] in lung surgery, there are still some concerns about the use of minimally invasive techniques for ILPS due to the risk of haemorrhage caused by incidental injury of the fragile aberrant artery wall and its retraction deep into the mediastinum or into the abdomen [ 3 ] during surgical manipulation. Although there have been several reports of the use of vascular plugs to exclude ILPS, mostly in paediatric patients [ 4 ], to the best of our knowledge there are only 2 reports in the literature about a hybrid sequential approach involving atypical lung resection [ 2 ], but none followed by major pulmonary resection.…”

Section: Introductionmentioning

confidence: 99%

Hybrid minimally invasive treatment of intralobar pulmonary sequestration: a single-centre experience

Grossi

Londero

Vit

et al. 2021

Interactive CardioVascular and Thoracic Surgery

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Pulmonary sequestrations are rare congenital malformations. They are often located in the lower lobes, and they are supplied by an aberrant systemic vessel arising from the thoracic aorta or abdominal arteries. These pulmonary malformations are divided into intra- and extralobar sequestrations, depending on the respective lack or presence of an independent pleural covering. Pulmonary sequestration can be asymptomatic or lead to recurrent pulmonary infections. The goal of this study was to analyse the feasibility and safety of a hybrid sequential approach. We report a small series of intralobar pulmonary sequestrations, from November 2017 to December 2018, successfully treated with a hybrid minimally invasive approach consisting of endovascular embolization of the aberrant arterial branch followed by video-assisted thoracoscopic lobectomy the day after. Thoracic pain following endovascular embolization was noted in all cases. Patients were discharged early in the absence of major postoperative complications. Prolonged air leak was observed in only 1 case. Despite the presence of sequestration-related pulmonary inflammation, in our experience, hybrid treatment for intralobar pulmonary sequestration is a safe and reproducible approach in terms of postoperative complications and hospital stay.

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“…Larger lesions are always supplied by larger aberrant arteries with a few surrounding vessels. We retrieved all the published reports of transcatheter embolization of pulmonary sequestration in children, 2,[10][11][12][13][14][15][16][17][18][19] and the devices in the two cases presented here are the largest that have been placed. We noticed that the absorption of the lesion was very slow (3% and 7.5% for each patient, for 3 years), which may be due to the essential surrounding vessels supplying the embolized lung segment.…”

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confidence: 99%

Debating the embolization of a large aberrant systemic artery for pulmonary sequestration using an Amplatzer duct occluder: a case report and literature review

Zhang

Qiu

2021

Cardiol Young

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Here, we report two rare cases of pulmonary sequestration that were fed by large systemic arteries and embolized with a large Amplatzer duct occluder and their 3-year follow-up, and we discuss the efficacy and safety of the embolization of a large aberrant systemic artery to pulmonary sequestration using an Amplatzer duct occluder. A 9-year-old boy complained of chest pain for 1 month, and a 6-year-old boy initially complained of recurrent cough for 3 months. A series of examinations was launched to evaluate any possible malformation or abnormalities in the patients. Chest CT and CTA identified a right lower pulmonary sequestration with infection. After admission, transcatheter device occlusion was planned after essential antibiotic treatment, and postoperative infection prevention and anti-inflammatory treatment were given. In the following 2 years of follow-up, neither of the children had recurrent chest pain, cough or other related symptoms. However, the CT follow-up demonstrated that a residual mass was visible in both patients. The same chest scan section revealed slight reductions in lung lesions from 38.344 cm2 to 37.119 cm2 (3% reduction) and 14.243 cm2 to 13.178 cm2 (7.5% reduction) for each patient. No follow-up data demonstrated the long-term clinical outcomes of the residual lesion. We do not recommend that embolization be performed for large pulmonary sequestration lesions with an aberrant artery larger than 6 mm that is planned to receive a device larger than 10 mm, as their outcomes showed a higher possibility of rebuilding the vascularization network feeding the pulmonary sequestration, indicating a higher risk for long-term complications.

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Transcatheter embolization of a large aberrant systemic artery to an intralobar pulmonary sequestration using an Amplatzer vascular plug in an adolescent

Cited by 7 publications

References 8 publications

Tratamiento endovascular de secuestro broncopulmonar intralobar

Tratamiento endovascular de secuestro broncopulmonar intralobar

Hybrid minimally invasive treatment of intralobar pulmonary sequestration: a single-centre experience

Debating the embolization of a large aberrant systemic artery for pulmonary sequestration using an Amplatzer duct occluder: a case report and literature review

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