Rare case of massive middle cerebral artery infarct after bronchial artery embolisation
  • Sukaina Jaafar
    sheikh khalifa medical city
  • Tajammal Zahoor
    Internal medicine & ICU, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
  • Mosaab Bagegni
    Internal medicine & ICU, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
  • Fatima Alzaabi
    Internal medicine & ICU, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
  • Mouza Al Mazrouie
    Internal medicine & ICU, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
  • Weaam Ibraheem
    Salma Rehabilitation Hospital, Abu Dhabi, United Arab Emirates
  • Maimouna Dhou Nourein
    Salma Rehabilitation Hospital, Abu Dhabi, United Arab Emirates

Keywords

Pulmonology, neurology, rehabilitation, bronchial artery embolisation, stroke

Abstract

Bronchial artery embolization (BAE) is a procedure that aims to control bleeding from bronchial arteries in massive and chronic haemoptysis. It is considered to be a life-saving measure in severe life-threating haemoptysis. Although it is minimally invasive and has a high success rate, it still carries a list of complications. These include post-embolisation syndrome, chest pain, back pain, dysphagia, vascular injury at the site of the embolisation leading to dissection, perforation, pseudoaneurysm and, very rarely, embolic infarction to non-target vessels.
Stroke is one of the rare complications post BAE, and it can be severe and fatal. Few cases of stroke post BAE have been reported in the literature, and they were mainly due to posterior cerebral circulation infarction. Here, we report a case of a stroke post BAE due to massive middle cerebral artery (MCA) infarction and to our knowledge it seems to be the first reported case of MCA infarction post BAE.
The discussion will cover the possible mechanisms of embolic passage, the outcome of the case including rehabilitation perspectives and the learning points. These will also highlight the importance of early recognition, which can save patients from a disabling stroke in the future.

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References

  • Slideshare. (2015, January 6). Bronchial artery embolization- by dr.Tinku Joseph. SlideShare. https://www.slideshare.net/slideshow/bronchial-artery-embolization-by-drtinku-joseph/43244572.
  • Ramakantan R, Bandekar VG, Gandhi MS, Aulakh BG, Deshmukh HL. Massive hemoptysis due to pulmonary tuberculosis: control with bronchial artery embolization. Radiology 1996;200:691–694.
  • Sopko DR, Smith TP. Bronchial artery embolization for hemoptysis. Semin Intervent Radiol 2011;28:48–62.
  • Hoffman M, Gerding JP, Zuckerman JB. Stroke and myocardial infarction following bronchial artery embolization in a cystic fibrosis patient. J Cyst Fibros 2017;16:161–162.
  • Ishikawa H, Ohbe H, Omachi N, Morita K, Yasunaga H. Spinal cord infarction after bronchial artery embolization for hemoptysis: A nationwide observational study in Japan. Radiology 2021;298:673–679.
  • Gao F, Xu Y, Fang S. Cerebral infarct after bronchial artery embolization. BJR Case Rep 2019;5:20180087.
  • FitzGerald DB, Suran EL, Sargent J. Posterior circulation infarct after bronchial artery embolization and coiling. Neurology 2005;65:1312.
  • Park JH, Kim DS, Kwon JS, Hwang DH. Posterior circulation stroke after bronchial artery embolization. Neurol Sci 2012;33:923–926.
  • Nisar N. A rare case of posterior circulation stroke caused by bronchial artery embolization. J Stroke Cerebrovasc Dis 2018;27:e153–e155.
  • Yu L, Li X, Wan T, Cao Z. Posterior circulation infarction after bronchial artery embolization. Acta Radiol Open 2023;12:20584601231168968.
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    Published: 2024-05-28
    Issue: 2024: Vol 11 No 6 (view)


    How to cite:
    1.
    Jaafar S, Zahoor T, Bagegni M, Alzaabi F, Al Mazrouie M, Ibraheem W, Dhou Nourein M. Rare case of massive middle cerebral artery infarct after bronchial artery embolisation. EJCRIM 2024;11 doi:10.12890/2024_004594.