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Published in: CardioVascular and Interventional Radiology 3/2007

01-06-2007

Spontaneous Hemothorax in Neurofibromatosis Treated with Percutaneous Embolization

Authors: Kazunori Arai, Junichiro Sanada, Akiko Kurozumi, Toshio Watanabe, Osamu Matsui

Published in: CardioVascular and Interventional Radiology | Issue 3/2007

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Abstract

We evaluated the effectiveness of transcatheter arterial coil embolization therapy for the treatment of spontaneous hemothorax followed by aneurysm rupture in neurofibromatosis patients. Three patients were treated for massive hemothorax caused by arterial lesions associated with neurofibromatosis. Bleeding episodes were secondary to ascending cervical artery aneurysm and dissection of vertebral artery in 1 patient, and intercostal artery aneurysm with or without arteriovenous fistula in 2 patients. Patients were treated by transarterial coil embolization combined with chest drainage. In 1 patient, the ruptured ascending cervical artery aneurysm was well embolized but, shortly after the embolization, fatal hemorrhage induced by dissection of the vertebral artery occurred and the patient died. In the other 2 patients, the ruptured intercostal artery aneurysm was well embolized and they were successfully treated and discharged. Transcatheter arterial coil embolization therapy is an effective method for the treatment of spontaneous hemothorax followed by aneurysm rupture in neurofibromatosis patients.
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Metadata
Title
Spontaneous Hemothorax in Neurofibromatosis Treated with Percutaneous Embolization
Authors
Kazunori Arai
Junichiro Sanada
Akiko Kurozumi
Toshio Watanabe
Osamu Matsui
Publication date
01-06-2007
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 3/2007
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-006-0056-1

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