Semin intervent Radiol 2019; 36(02): 111-116
DOI: 10.1055/s-0039-1688424
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Anterior Cord Syndrome after Embolization for Malignant Hemoptysis

Max Padgett
1   Department of Radiological Sciences, University of California, Irvine, California
,
Nadine Abi-Jaoudeh
1   Department of Radiological Sciences, University of California, Irvine, California
,
Bryan S. Benn
2   Department of Medicine, University of California, Los Angeles, California
,
Ramin Rahimian
3   Department of Anesthesia, University of California, Irvine, California
,
Kari Nelson
1   Department of Radiological Sciences, University of California, Irvine, California
› Author Affiliations
Further Information

Publication History

Publication Date:
22 May 2019 (online)

Abstract

Interventional radiology plays an integral role in the management of massive and recurrent submassive hemoptysis. Risks of bronchial artery embolization (BAE) are well described and include spinal ischemia and paralysis, most often related to nontarget embolization of the artery of Adamkiewicz or other large radiculomedullary artery supplying the anterior spinal artery. There is increasing literature regarding spinal infarction following BAE when arterial supply to the spinal cord was not evident. The existence of unrecognized patient comorbidities may further contribute to procedural risks.

Disclosures

The authors report no relevant financial disclosures.


 
  • References

  • 1 Brown AC, Ray CE. Anterior spinal cord infarction following bronchial artery embolization. Semin Intervent Radiol 2012; 29 (03) 241-244
  • 2 Willey JZ, Barnett HJM, Mohr JP. Spinal cord ischemia. In: Stroke. 5th ed. Elsevier; 2011: 643-657
  • 3 Brockstein B, Johns L, Gewertz BL. Blood supply to the spinal cord: anatomic and physiologic correlations. Ann Vasc Surg 1994; 8 (04) 394-399
  • 4 Bosmia AN, Hogan E, Loukas M, Tubbs RS, Cohen-Gadol AA. Blood supply to the human spinal cord: part I. Anatomy and hemodynamics. Clin Anat 2015; 28 (01) 52-64
  • 5 Yang ML, Connolly AM. Other motor neuron diseases of childhood. In: Swaiman's Pediatric Neurology. 6th ed. Elsevier; 2017: 1065-1072
  • 6 Novy J, Carruzzo A, Maeder P, Bogousslavsky J. Spinal cord ischemia: clinical and imaging patterns, pathogenesis, and outcomes in 27 patients. Arch Neurol 2006; 63 (08) 1113-1120
  • 7 Chen SH, Hui YL, Yu CM, Niu CC, Lui PW. Paraplegia by acute cervical disc protrusion after lumbar spine surgery. Chang Gung Med J 2005; 28 (04) 254-257
  • 8 Wang GR, Ensor JE, Gupta S, Hicks ME, Tam AL. Bronchial artery embolization for the management of hemoptysis in oncology patients: utility and prognostic factors. J Vasc Interv Radiol 2009; 20 (06) 722-729
  • 9 Chen J, Chen LA, Liang ZX. , et al. Immediate and long-term results of bronchial artery embolization for hemoptysis due to benign versus malignant pulmonary diseases. Am J Med Sci 2014; 348 (03) 204-209
  • 10 Hewson DW, Bedforth NM, Hardman JG. Spinal cord injury arising in anaesthesia practice. Anaesthesia 2018; 73 (01) (Suppl. 01) 43-50
  • 11 Garcia-Olivé I, Sanz-Santos J, Centeno C. , et al. Results of bronchial artery embolization for the treatment of hemoptysis caused by neoplasm. J Vasc Interv Radiol 2014; 25 (02) 221-228