Application of the 5F JL4 Catheter in Bronchial Artery Embolization With the Opening in the Inferior Wall of the Aortic Arch

Vasc Endovascular Surg. 2023 May;57(4):379-385. doi: 10.1177/15385744221149910. Epub 2023 Jan 3.

Abstract

Background: We investigated the efficacy and safety of bronchial artery embolization (BAE) using a 5F JL4 catheter in patients with hemoptysis and a bronchial artery opening in the inferior wall of the aortic arch.

Methods: This was a single-center retrospective study. Seventeen patients underwent BAE using 5F JL4. We then evaluated technical success (TS), clinical success (CS), incidence of complications, and hemoptysis recurrence rate (RR).

Results: The TS rate of microcatheter superselective catheterization and CS rate after surgery were 100%, and the incidence of severe complications and postoperative RR were 17.6%.

Conclusions: Bronchial artery embolization for hemoptysis with a BA opening in the inferior wall of the aortic arch using the 5F JL4 catheter could be a safe method. The short- and medium-term results were excellent.

Keywords: JL4 catheter; aortic arch; bronchial artery embolization; massive hemoptysis.

MeSH terms

  • Aorta, Thoracic / diagnostic imaging
  • Bronchial Arteries* / diagnostic imaging
  • Catheters / adverse effects
  • Embolization, Therapeutic* / adverse effects
  • Hemoptysis / etiology
  • Hemoptysis / therapy
  • Humans
  • Retrospective Studies
  • Treatment Outcome