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- W2397416677 abstract "We describe a novel adjunctive treatment for aortobronchial fistulas. A foam sclerosing compound consisting of sodium tetradecyl sulfate (STS), lipiodol, and air has been successfully used in the treatment of bleeding gastric varices. We describe a 65-year-old cirrhotic patient with a saccular aortic arch aneurysm who required emergency treatment for a symptomatic aortobronchial fistula. The patient originally presented with a contained rupture of a thoracic aortic aneurysm and underwent urgent placement of a thoracic aortic stent graft. Postoperatively, he developed significant hemoptysis due to an aortobronchial fistula. A chest computed tomography demonstrated a proximal type I endoleak with enlargement of the aneurysmal sac. With the patient deemed not a candidate for open surgical repair, we chose to reinforce the proximal endograft seal zone with a Palmaz stent and ablation of the aneurysm sac with STS/lipiodol foam. The patient recovered from the procedure well and, thereafter, was no longer symptomatic. Thrombosis of the thoracic aneurysm sac and ablation of the aortobronchial fistula led to cessation of bleeding symptoms. In selected cases, sterile STS/lipiodol foam ablation is a potential adjunct to TEVAR for treating symptomatic aortobronchial fistulas." @default.
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- W2397416677 date "2016-06-01" @default.
- W2397416677 modified "2023-10-14" @default.
- W2397416677 title "IP059. Successful Ablation of a Ruptured Thoracic Aneurysm With Associated Aortobronchial Fistula Using Sodium Tetradecyl Sulfate/Lipiodol Foam" @default.
- W2397416677 doi "https://doi.org/10.1016/j.jvs.2016.03.067" @default.
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