Ischemic Cerebellar Stroke During Embolization Procedure on Hemoptysis Patient

DOI

10.2991/978-94-6463-208-8_4How to use a DOI?

Keywords

nontarget embolization; hemoptysis; stroke

Abstract

Hemoptysis represents one of the most challenging conditions that are potentially life-threatening. Bronchial artery embolization (BAE) is effective method for controlling hemoptysis, but it also has complication risk like nontarget embolization in 0,6–5,5% cases. The Purpose of this case report is to know the complications and early management of embolization procedures, so the radiologist can minimize the complication. Conducting a literature review and medical records. A 33-yo female Aspergilloma patient with moderate hemoptysis treated with embolization. Embolization was performed through cannulation of the right intercostal artery and right costocervical trunk artery. Embolization was carried out with PVA and showed a decrease in supply of 60% - 70%. Before finishing the embolization, the patient complained of acute vertigo that showed nontargeted embolization which is probably due to embolism in posterior (vertebrobasilar) circulation. CT and MRI scans showed infarction in the right cerebellum. The patient received ischemic stroke therapy and the patient's condition improved without complaint of hemoptysis and vertigo. Nontarget embolization is complication risk of BAE. The complication rate depends on the the vascular territory, sharp angle of branching, tortuosity, caliber of the artery, and operator's experience. The anatomical location of the costocervical trunk adjacent to the vertebral arteries would be the risk of nontargeted embolization to the areas vascularized by posterior (vertebrobasilar) circulation. BAE is an effective method for controlling hemoptysis, but this procedure has complication risk. Imaging of anatomical pathologies, multidisciplinary team planning, and increasing competence can minimize complications of embolization procedures.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Tika Wahyu Winarni
AU  - Yuyun Yueniwati
PY  - 2023
DA  - 2023/06/26
TI  - Ischemic Cerebellar Stroke During Embolization Procedure on Hemoptysis Patient
BT  - Proceedings of the International Conference of Medical and Life Science (ICoMELISA 2021)
PB  - Atlantis Press
SP  - 14
EP  - 20
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-208-8_4
DO  - 10.2991/978-94-6463-208-8_4
ID  - Winarni2023
ER  -