Permanent Cortical Blindness After Bronchial Artery Embolization

被引：10

作者：

van Doorn, Colette S. ^{[1
]}

De Boo, Diederick W. ^{[1
]}

Weersink, Els J. M. ^{[2
]}

van Delden, Otto M. ^{[1
]}

Reekers, Jim A. ^{[1
]}

van Lienden, Krijn P. ^{[1
]}

机构：

[1] Univ Amsterdam, Acad Med Ctr, Dept Radiol, NL-1105 AZ Amsterdam, Netherlands

[2] Univ Amsterdam, Acad Med Ctr, Dept Pulmonol, NL-1105 AZ Amsterdam, Netherlands

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2013年 / 36卷 / 06期

关键词：

CARDIAC-CATHETERIZATION; HEMOPTYSIS;

D O I：

10.1007/s00270-013-0610-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 35-year-old female with a known medical history of cystic fibrosis was admitted to our institution for massive hemoptysis. CTA depicted a hypertrophied bronchial artery to the right upper lobe and showed signs of recent bleeding at that location. Bronchial artery embolization (BAE) was performed with gelfoam slurry, because pronounced shunting to the pulmonary artery was present. Immediately after BAE, the patient developed bilateral cortical blindness. Control angiography showed an initially not opacified anastomosis between the embolized bronchial artery and the right subclavian artery, near to the origin of the right vertebral artery. Cessation of outflow in the bronchial circulation reversed the flow through the anastomosis and allowed for spill of embolization material into the posterior circulation. Unfortunately the cortical blindness presented was permanent.

引用

页码：1686 / 1689

页数：4

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