Anterior spinal cord infarction as a complication of bronchial artery embolization in the management of recurrent hemoptysis

oleh: Ramandeep Singh, Siddharth Prakash, Paramdeep Singh, Rupinderjeet Kaur, Rubal Rai

Format: Article
Diterbitkan: Wolters Kluwer Medknow Publications 2019-01-01

Deskripsi

Bronchial artery embolization (BAE) is an established minimally invasive approach for the treatment of massive or recurrent hemoptysis. There are several minor complications associated with the procedure. A rare complication of the procedure is spinal cord infarction due to embolization of anterior spinal artery. A 48-year-old male patient of old pulmonary tuberculosis presented with fibrocalcified lesions in the right upper lobe on chest X-ray and recurrent hemoptysis. Angiography revealed bleeding from a branch of single right intercostobranchial trunk. The day following the procedure, the patient complained of weakness and pain in lower limbs. Magnetic resonance imaging dorsolumbar spine revealed acute spinal cord infarct from D2 to D5 vertebral levels. This case demonstrates that spinal cord ischemia may occur during BAE, despite all the precautionary measures.