Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 9/2016

01-09-2016 | Clinical Investigation

Transarterial Embolization of Anomalous Systemic Arterial Supply to Normal Basal Segments of the Lung

Authors: Sen Jiang, Dong Yu, Bing Jie

Published in: CardioVascular and Interventional Radiology | Issue 9/2016

Login to get access

Abstract

Purpose

To evaluate transarterial embolization (TAE) for the management of anomalous systemic arterial (ASA) supply to normal basal segments of the lung.

Methods

Thirteen patients with ASA supply to normal basal segments of the lung underwent TAE. All patients presented with hemoptysis and had complete-type anomalies on pre-TAE or post-TAE computed tomography (CT). The anomaly was unilateral in all patients; 11 lesions were located in the left lung and 2 in the right. All patients underwent embolization with coils (n = 10) or a vascular plug (n = 3). Procedural success, clinical efficacy, and complications were assessed. Mean post-TAE CT and clinical follow-up was 25.4 and 42.1 months, respectively.

Results

Technical success was achieved in 100 % of cases. Several changes were noted on follow-up CT: complete obstruction of the ASA in all cases, normal (n = 11) or decreased (n = 2) density of the affected lung parenchyma, reduction of the primary enlarged inferior pulmonary vein in all cases, and pulmonary infarction and thickening of the corresponding bronchial artery (n = 4). The main complication was pulmonary infarction in four cases.

Conclusion

TAE is a safe, effective, and minimally invasive therapeutic option for patients with ASA supply to normal basal segments of the lung.
Literature
1.
Yamanaka A, Hirai T, Fujimoto T, Hase M, Noguchi M, Konishi F. Anomalous systemic arterial supply to normal basal segments of the left lower lobe. Ann Thorac Surg. 1999;68(2):332–8.CrossRefPubMed
2.
Kurosaki Y, Kurosaki A, Irimoto M, Kuramoto K, Itai Y. Systemic arterial supply to normal basal segments of left lower lobe: CT findings. J Comput Assist Tomogr. 1993;17(6):857–61.CrossRefPubMed
3.
Kim TS, Lee KS, Im JG, Goo JM, Park JS, Kim JH. Systemic arterial supply to the normal basal segments of the left lower lobe: radiographic and CT findings in 11 patients. J Thorac Imaging. 2002;17(1):34–9.CrossRefPubMed
4.
Yu H, Li HM, Liu SY, Xiao XS. Diagnosis of arterial sequestration using multidetector CT angiography. Eur J Radiol. 2010;76(2):274–8.CrossRefPubMed
5.
Jiang S, Shi JY, Zhu XH, et al. Endovascular embolization of the complete type of anomalous systemic arterial supply to normal basal lung segments: a report of four cases and literature review. Chest. 2011;139(6):1506–13.CrossRefPubMed
6.
Brühlmann W, Weishaupt D, Goebel N, Imhof E. Therapeutic embolization of a systemic arterialization of lung without sequestration. Eur Radiol. 1998;8(3):355–8.CrossRefPubMed
7.
Izzillo R, El Hajjam M, Qanadli S, Guichaux F, Mignon F, Caubarrere I, et al. Intralobar sequestration of the lung in an adult (type 1 of pryce). Treatment by coil embolization. J Radiol. 2000;81(9):996–9.PubMed
8.
Chabbert V, Doussau-Thuron S, Otal P, Bouchard L, Didier A, Joffre F, et al. Endovascular treatment of aberrant systemic arterial supply to normal basilar segments of the right lower lobe: case report and review of the literature. Cardiovasc Intervent Radiol. 2002;25(3):212–5.CrossRefPubMed
9.
Saida T, Ninomiya H, Hojo F, Nakayama M, Yamauchi T, Saida Y. Systemic arterial supply to the normal basal segments of the left lower lobe treated by coil embolization, with long-term follow-up. Radiat Med. 2006;24(5):365–8.CrossRefPubMed
10.
Lim HH, Huh JK, Kim JH, No HS, du Choe H, Kim CH, et al. Therapeutic embolization of systemic arterial supply to normal basal segments of the left lower lobe of the lung. Respirology. 2009;14(4):606–8.CrossRefPubMed
11.
Canyigit M, Gumus M, Kilic E, Erol B, Cetin H, Hasanoglu HC, et al. Aneurysm of an anomalous systemic artery supplying the normal basal segments of the left lower lobe: endovascular treatment with the Amplatzer vascular plug II and coils. Cardiovasc Intervent Radiol. 2011;34(Suppl 2):S126–30.CrossRefPubMed
12.
Anil G, Taneja M, Tan AG. Endovascular treatment of isolated systemic arterial supply to normal lung with coil and glue embolization. Br J Radiol. 2012;85(1012):e83–6.CrossRefPubMed
13.
Khalil A, Fartoukh M, Bazot M, Parrot A, Marsault C, Carette MF. Systemic arterial embolization in patients with hemoptysis: initial experience with ethylene vinyl alcohol copolymer in 15 cases. AJR Am J Roentgenol. 2010;194(1):W104–10.CrossRefPubMed
14.
Singhi AK, Nicholson I, Francis E, Kumar RK, Hawker R. Anomalous systemic arterial supply to normal basal segment of the left lung. Heart Lung Circ. 2011;20(6):357–61.CrossRefPubMed
15.
Sugihara F, Murata S, Uchiyama F, Watari J, Tanaka E, Muraishi N, et al. Transcatheter arterial embolization of anomalous systemic arterial supply to the basal segment of the lung. Acta Radiol Short Rep. 2013;2(7):2047981613511363.PubMedPubMedCentral
16.
Kim JH, Kim SS, Ha KS, Bae J, Park Y. Anomalous arterial supply to normal basal segment of the right lower lobe: endovascular treatment with the amplatzer vascular plug. Tuberc Respir Dis (Seoul). 2014;76(6):295–8.CrossRef
17.
Pryce DM. Lower accessory pulmonary artery with intralobar sequestration of lung: a report of seven cases. J Pathol Bacteriol. 1946;58(3):457–67.CrossRefPubMed
18.
Irodi A, Cherian R, Keshava SN, James P. Dual arterial supply to normal lung: within the sequestration spectrum. Br J Radiol. 2010;83(989):e86–9.CrossRefPubMed
19.
Hirai T, Ohtake Y, Mutoh S, Noguchi M, Yamanaka A. Anomalous systemic arterial supply to normal basal segments of the left lower lobe: a report of two cases. Chest. 1996;109(1):286–9.CrossRefPubMed
20.
Baek WK, Cho J, Kim JT, Yoon YH, Kim KH, Lim HK, et al. Systemic arterial supply to normal basal segments of the left lower lobe along with the pulmonary artery: is lung resection warranted? J Thorac Cardiovasc Surg. 2006;131(3):742–3.CrossRefPubMed
21.
Yabek SM, Burstein J, Berman W Jr, Dillon T. Aberrant systemic arterial supply to the left lung with congestive heart failure. Chest. 1981;80(5):636–7.CrossRefPubMed
22.
Mori S, Odaka M, Asano H, Marushima H, Yamashita M, Kamiya N, et al. Anomalous systemic arterial supply to the basal segments of the lung: feasible thoracoscopic surgery. Ann Thorac Surg. 2013;96(3):990–4.CrossRefPubMed
23.
Choi H, Lee S, Kim JT. Anomalous systemic arterial supply to the basal segment of the left lung with huge pseudoaneurysm. Eur J Cardiothorac Surg. 2006;30(2):386.CrossRefPubMed
24.
Wang W, Li H, Tam MD, Zhou D, Wang DX, Spain J. The amplatzer vascular plug: a review of the device and its clinical applications. Cardiovasc Intervent Radiol. 2012;35(4):725–40.CrossRefPubMed
25.
Heenan SD, Grubnic S, Buckenham TM, Belli AM. Transbrachial arteriography: indications and complications. Clin Radiol. 1996;51(3):205–9.CrossRefPubMed
26.
Dias NV, Sonesson B, Kristmundsson T, Holm H, Resch T. Short-term outcome of spinal cord ischemia after endovascular repair of thoracoabdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2015;49(4):403–9.CrossRefPubMed
27.
Hasegawa I, Boiselle PM, Hatabu H. Bronchial artery dilatation on MDCT scans of patients with acute pulmonary embolism: comparison with chronic or recurrent pulmonary embolism. AJR Am J Roentgenol. 2004;182(1):67–72.CrossRefPubMed
Metadata
Title
Transarterial Embolization of Anomalous Systemic Arterial Supply to Normal Basal Segments of the Lung
Authors
Sen Jiang
Dong Yu
Bing Jie
Publication date
01-09-2016
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 9/2016
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-016-1361-y

Other articles of this Issue 9/2016

CardioVascular and Interventional Radiology 9/2016 Go to the issue

In Memoriam

Obituary

Clinical Investigation

Diffusion-Weighted MRI Assessment of Adjacent Disc Degeneration After Thoracolumbar Vertebral Fractures

Letter to the Editor

Traumatic Pseudoaneurysm of the Inferior Mesenteric Artery Branch: A Rare Cause of Lower GI Bleeding and Treatment with Selective Coil Embolization

Case Report

Arteriolymphatic Fistula: An Unusual Cause of Spontaneous Swelling in the Left Supraclavicular Region

Clinical Investigation

Multicenter Prospective Clinical Series Evaluating Radiofrequency Ablation in the Treatment of Painful Spine Metastases

Technical Note

Combined Endoscopic-Radiological Rendezvous for Distal Tail Postoperative Pancreatic Fistula (POPF)