The Arab Journal of Interventional Radiology最新文献

{"title":"Accuracy of Electrocardiography-guided PICC in Atrial Fibrillation Patients","authors":"I. Aljediea, M. Alshehri, Khaled Alenazi, Amr Mimesh, M. Fleet","doi":"10.1055/s-0043-1764199","DOIUrl":"https://doi.org/10.1055/s-0043-1764199","url":null,"abstract":"Abstract Objectives  We conducted this study to review our experience performing electrocardiography-guided peripherally inserted central catheter insertion in patients with atrial fibrillation. Materials and Methods  This is a retrospective study of PICC insertions performed by interventional radiology technologists using electrocardiogram guidance in patients with atrial fibrillation. The study included 99 PICCs inserted using electrocardiography guidance in 79 patients diagnosed with atrial fibrillation. Chest X-ray is used to confirm tip position. Results  We reviewed all PICCs inserted in patients with atrial fibrillation using electrocardiography guidance between September 2017 and June 2022. The review process included success and malposition rates using X-ray correlation. Ninety-four out of 99 PICCs were successfully inserted, and 5 cases required repositioning. Conclusion  Our study suggests that electrocardiography navigation can be safely used for PICC insertion in patients with atrial fibrillation with high success rate.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"07 1","pages":"035 - 038"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46705900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness and Safety of Microwave Ablation Therapy in Parathyroid Adenomas","authors":"F. Urfalı, B. Aydin, S. Zeren, G. Cansu, M. Algin, Mehmet Korkmaz","doi":"10.1055/s-0043-1764436","DOIUrl":"https://doi.org/10.1055/s-0043-1764436","url":null,"abstract":"Abstract Objective  We report the effectiveness and safety of ultrasound (US) guided microwave ablation (MWA) treatment of parathyroid adenomas. Materials and Methods  A total of 35 patients underwent US-guided MWA therapy of parathyroid adenomas. Before the procedure, blood parathyroid hormone (PTH; mean: 202.32 ± 158.46 ng/L) level, calcium (mean: 11.65 ± 0.53 mg/dL) level, and parathyroid adenoma volume (mean: 1.76 ± 0.73 cm 3 ) were recorded. Blood parameters and US-guided follow-up evaluations were performed at 1 and 3 months after the procedure. Results  Technical success was 91% for the first session. There was a statistically significant decrease in parathyroid adenoma size and calcium and PTH levels at 3 months of follow-up ( p  < 0.001). A perfect positive correlation ( r : 0.927; p  < 0.001) was found between the ablation time and the adenoma size. Transient vocal cord paralysis occurred in two (5.7%) patients and short-term (<2 hours) local pain occurred in four (11.4%) patients after the procedure. Conclusion  US-guided MWA is effective in the treatment of parathyroid adenomas with low complication risk. Our preliminary results showed that MWA treatment resulted in an effective improvement in blood tests and adenoma size.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"07 1","pages":"039 - 043"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43929201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective Comparative Study to Assess the Safety and Efficacy of Transradial Arterial Access for Hepatic Tumor Embolizations: A Single Operator Experience","authors":"R. Sundareyan, S. Karkhanis","doi":"10.1055/s-0042-1758673","DOIUrl":"https://doi.org/10.1055/s-0042-1758673","url":null,"abstract":"Abstract Objectives To assess the efficacy and safety of transradial arterial access (TRA) for hepatic tumor embolizations and compare the outcomes between the TRA and transfemoral arterial access (TFA). Materials and Methods  A retrospective analysis of all consecutive hepatic tumor embolization procedures done through TFA or TRA by a single operator from November 2017 to April 2019 was performed. The procedural variables, including fluoroscopy time, radiation dose (reference air kerma [RAK]), conversion and complication rates, and patient preferences were recorded. The primary endpoint was technical success, which was defined as the successful completion of the embolization procedure. Procedural variables including radiation exposure and patient preferences, and complications were analyzed as secondary endpoints. Results  Out of 102 procedures in 90 patients, 44 were performed through TFA and the rest by TRA. A technical success rate of 98.2% and a crossover rate of 1.7% were recorded for TRA. There were no major vascular complications and similar rates of minor complications (8.6% for TRA, 2.3% for TFA; P  = 0.055), without any clinical sequelae. After the initial learning curve, no significant differences for other procedural variables were noted between the two access sites. Faster ambulation were achieved following TRA ( P  < 0.055). All 12 patients who underwent repeat TACE after initial TRA chose this again over TFA. Conclusions  TRA is safe and effective for hepatic tumor embolization. Its safety and efficacy profile is comparable to that of TFA, with added improved patient comfort and faster ambulation. Advances in Knowledge  New catheter options and modifications of the existing techniques as explained in this article proved radial arterial access as a safe and effective alternative in hepatic arterial embolization.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"07 1","pages":"022 - 025"},"PeriodicalIF":0.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44472807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Segmental Yttrium-90 Radioembolization as an Initial Treatment for Solitary Unresectable HCC","authors":"N. Rothenberger, Qian Yu, S. Ramasamy, T. V. Van Ha, S. Zangan, R. Navuluri, Osman Ahmed","doi":"10.1055/s-0042-1758698","DOIUrl":"https://doi.org/10.1055/s-0042-1758698","url":null,"abstract":"Abstract Objectives  To evaluate the objective response rate (ORR), time to progression (TTP), and overall survival (OS) in patients with unresectable solitary HCC less than 5 cm who were treated with 90 Y glass microspheres infused at a segmental level. Materials and Methods  Single-institution retrospective study of 35 patients with unresectable HCC deemed not suitable for percutaneous ablation who underwent segmental transarterial radioembolization (TARE) treatment. Eligibility criteria included patients with solitary, unilobar, < 5 cm unresectable HCC lesions who underwent TARE as a primary treatment strategy between November 2012 and April 2020. Imaging follow-up was performed on each patient at 3-, 6-, and 12 months post-treatment. Local and the overall tumor response was evaluated using mRECIST criteria, and primary endpoints were ORR, TTP, and OS. Adverse events (AEs) were graded for severity using the Common Terminology Criteria for Adverse Events (CTCAE) v.5.0. Statistical Analysis  Patient demographics, baseline characteristics, and treatment characteristics were analyzed using descriptive statistics. Predictors of survival were analyzed with Cox proportional hazards regression. Kaplan–Meier analysis was used to evaluate OS. Results  Median tumor size was 3 cm (range: 1.0-4.8 cm) in the 35 patients studied, with 25.7% (9/35) being the Eastern Cooperative Oncology Group (ECOG) 0 and 62.9% (22/35) ECOG 1. Most patients (88.5%, 31/35) were of the Barcelona Clinic Liver Cancer (BCLC) stage C, with one patient each classified as BCLC-A and BCLC-0, respectively. For 34.2% (12/35), TARE functioned as a bridge to transplantation. Transplanted patients exhibited a median pathologic necrosis of 98% (IQR 7.5). Combined ORR for local and overall mRECIST at 12 months post-TARE was 94.3% and 85.7%, respectively. All patients had a mean local TTP of 11.9 months (CI: 2.7–21.0) and global TTP of 13.2 months (CI: 6.4–20.0). Among the 14.3% (5/35) of patients who experienced AEs following treatment, 80% (4/5) were Grade 1, one patient experienced a Grade 4, and all events resolved within 1 month of treatment. Total OS at 1 year was 97%, whereas patients who underwent OLT had an OS of 100%. Conclusion  Segmental TARE was a safe and effective treatment for solitary unresectable HCC less than 5 cm. When used as a bridge to transplant, explants showed near complete pathologic necrosis of treated lesions.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"06 1","pages":"056 - 062"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46997460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of Percutaneous Peritoneal Dialysis Catheters Insertion by Interventional Radiologists: A Single-Institution Experience","authors":"Khadijah A. Alhussaini, Shaima Abulqasim, A. Al-Sharydah, E. Elhassan, M. Arabi","doi":"10.1055/s-0042-1758040","DOIUrl":"https://doi.org/10.1055/s-0042-1758040","url":null,"abstract":"Abstract Objectives  This article evaluates the short- and long-term outcomes of percutaneous peritoneal dialysis (PD) catheters inserted by interventional radiology service and analyzes the factors that affect the sustainability of patent and functional PD catheters. Materials and Methods  Retrospective single-institution study between April 2015 and February 2021. A total of 131 patients (75 males) were enrolled with mean age of 50 ± 19.6 years with an average body mass index (BMI) of 28 ± 7 kg/m 2 . Technical and clinical success were evaluated. Catheter-related complications were classified into mechanical and nonmechanical categories, including infectious complications. Indications for removal were analyzed. Results  Technical and clinical success were 100%. The average dwelling time for the entire cohort was 497.5 ± 462.3 days. Forty-six patients (35%) were on PD at the last follow-up with an average dwelling time of 492 days. PD-related complications were reported in 79/131 (60.3%) patients, including peritonitis (40.46%; 53/131), followed by malposition/migration (12.21%; 16/131), tunnel/exit site infection (10.69%; 14/131), and dysfunction (12.21%; 16/131). The incidence of peritonitis within 30 days postinsertion was 9.43% (5/53). The average interval between insertion and migration was 100.5 ± 144.8 days (95% confidence interval, 6.9–14.4). There was a trend for a higher rate of malposition/migration in patients with higher BMI ( p  = 0.0561). Causes for PD catheters removal were: (1) infection-related (24.4%; 32/131), (2) renal transplant recipients (16%; 21/131), (3) mechanical complications (13.7%; 18/131), and (4) patient's preference (7.6%; 10/131). Conclusion  Percutaneous PD catheter placement by interventional radiologists provides acceptable long-term outcomes and complication rates that meet the recommended standards.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"06 1","pages":"082 - 086"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47295314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Exercise on Inferior Vena Cava Wall Interaction with Inferior Vena Cava Filters: Results of a Pilot In Vivo Porcine Study","authors":"M. Shahid, N. Nirgudkar, V. Chandra, Sharon F. Gonzales, Abhishek Kumar","doi":"10.1055/s-0042-1757782","DOIUrl":"https://doi.org/10.1055/s-0042-1757782","url":null,"abstract":"Abstract Objectives  The aim of this study was to assess the effect of mild exercise on inferior vena cava (IVC) filter interaction with imaging and pathological features with the neighboring vessel wall utilizing a porcine model. Materials and Methods  After Institutional Animal Care and Use Committee (IACUC) approval, retrievable Option Elite IVC filters were implanted in six Yorkshire pigs utilizing the right common femoral vein approach under general anesthesia. Group A ( n  = 4) pigs remained sedentary for 4 weeks. Group B ( n  = 2) pigs were exercised using a harness and treadmill for 10 minutes/day for 4 days/week. At approximately 4 weeks, IVC venograms were performed and the pigs were sacrificed. After laparotomy, the IVC was ligated above and below the filter, excised and fixed in formalin. Gross and histological examination of the IVC was performed. Gross images of each sample were captured before removal of the filters. One longitudinal, one tangential, and five transverse representative sections were processed for paraffin sectioning and hematoxylin and eosin slides were prepared. A pathologist examined all tissues to assess differences between normal vein, group A and group B pigs. The pathologist provided an overall assessment and representative images. Results  All IVC filter implantations were technically successful without adverse effects. There was no incidence of caval thrombosis, filter strut fracture, or filter migration in either group. On gross pathological examination, IVC of the pigs in group B demonstrated more perivascular and mural fibrosis than those pigs in group A. Histopathological findings correlated with gross findings. Conclusions  In this pilot study, there were no incidence of IVC filter strut fracture, penetration or IVC occlusion in sedentary or exercised pigs. However, there tended to be more perivascular and mural fibrosis on pathological examination of inferior vena cavas from exercised pigs. Further larger scale studies may employ the porcine model to further understand the role exercise may play on IVC filter and caval wall interaction.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"06 1","pages":"072 - 075"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47752734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Targeted Renal Biopsy: Predictors on Imaging","authors":"Janki Trivedi, A. Talwar, Ahmed Nada, Simon J. Li, Adele Lee, T. Sutherland","doi":"10.1055/s-0042-1757785","DOIUrl":"https://doi.org/10.1055/s-0042-1757785","url":null,"abstract":"Abstract Objectives  The renal nephrometry score uses imaging characteristics such as lesion diameter, location, and proximity to hilar vessels to categorize renal masses by complexity for preoperative planning. These characteristics may also be used to determine the best approach to targeted renal biopsy. This study was conducted to investigate the impact of renal lesion characteristics as measured by the renal nephrometry score on the choice of modality used for performing a targeted renal lesion biopsy and increasing the chance of yielding a diagnostic biopsy. Materials and Methods  All targeted computed tomography (CT)/ultrasound-guided renal biopsies performed by our radiology department from January 2017 to February 2020 were reviewed. Radiological characteristics and pathological outcomes were recorded with data on lesion size/ side, location in craniocaudal/anterior–posterior planes, endophytic/exophytic/mixed nature, and skin-lesion distance. Statistical Analysis  Chi-squared tests, multivariate analysis, and t -tests were used in this study. Results  Of the 145 consecutive patients included in the study, 86.2% (125/145) biopsies were diagnostic. About 54.5% (79/145) biopsies were ultrasound-guided, while 45.5% (66/145) were CT-guided. About 62.1% (90/145) biopsies revealed renal cell carcinoma. The highest rate of diagnostic biopsy was in the exophytic, laterally positioned mass either entirely below lower polar or above upper polar line. Ultrasound was preferred for lesions under 4cm and 4 to 7cm ( p  = 0.06). CT was used for anterior lesions and ultrasound for posterior and lateral lesions ( p  < 0.001). Of the 20 nondiagnostic biopsies, 7/20 had a repeat biopsy, 7/20 underwent surveillance, 5/20 underwent partial or total nephrectomy, and 1/20 underwent a pathological lymph node biopsy. Conclusions  Our study highlights some factors radiologists should consider when predicting whether CT or ultrasound guidance is more appropriate and the probability of achieving a diagnostic biopsy based on lesion characteristics. At our institution, both modalities achieved high accuracy, although we favored ultrasound in lateral, posterior, and small lesions. These factors should be weighed against local experience and preference.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"06 1","pages":"087 - 091"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42743549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular Infusion of Amphotericin B for the Treatment of Rhino-Orbito-Cerebral Mucormycosis: A Pilot Study Assessing Technical Feasibility and Safety","authors":"Subhash Kumar, K. Bhavana, Vijay Kumar, Amarjeet Kumar, Mala Mahto","doi":"10.1055/s-0042-1757783","DOIUrl":"https://doi.org/10.1055/s-0042-1757783","url":null,"abstract":"Abstract Objectives  The aim of this study was to assess the technical feasibility and safety of intra-arterial infusion of amphotericin B for the management of rhino-orbito-cerebral mucormycosis in patients unable to receive full dose and schedule of intravenous amphotericin B and/or unsuitable for surgery. Materials and Methods  Five consecutive patients underwent five sessions of intra-arterial infusion each via both external carotid arteries on alternate days. Liposomal amphotericin B (50 mg) was infused at each session. The baseline and follow-up investigations as well as local and systemic complications were charted. Results  Procedure could be completed for all participants without any local complications. One patient had transient and another had progressive deterioration in renal parameters during the follow-up period of 30 days. Conclusions  Authors conducted successfully a pilot study of multisession intra-arterial infusion of amphotericin B, with the premise that it can provide high concentration of drug at the desired site with reduced systemic complications. They recommend further larger randomized studies to evaluate its efficacy for the management of advanced rhino-oculo-cerebral mucormycosis.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"06 1","pages":"092 - 098"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48587904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transradial Embolization of Hemorrhagic Adrenal Myelolipoma","authors":"Griffin Mcnamara, A. Abdelbaki, Jeremy Mccarver, David Owens, Ali Malik, K. Pereira, Alejandro Mendez","doi":"10.1055/s-0042-1749071","DOIUrl":"https://doi.org/10.1055/s-0042-1749071","url":null,"abstract":"Abstract Adrenal myelolipomas are largely benign, non-functioning, and asymptomatic adrenal tumors found incidentally on imaging. These tumors have an extremely low incidence and are exceedingly rare. We report a case of trans-radial embolization of hemorrhagic adrenal myelolipoma.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"06 1","pages":"099 - 101"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48829668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transarterial Embolization of Hemitruncus Arteriosus Aneurysm","authors":"Mohammed Alaftan, Shagran B. Khamis, Ali Alsaadi","doi":"10.1055/s-0042-1749070","DOIUrl":"https://doi.org/10.1055/s-0042-1749070","url":null,"abstract":"Hemitruncus arteriosus is a rare congenital heart disease in which the pulmonary artery arises from the aorta. Patients usually present with symptoms of pulmonary hypertension during the neonatal period. A 15-year-old female with no past medical history presented with progressive dyspnea and hemoptysis for 2 months. On admission, the patient was hypoxic (O2 saturation was 88% on room air). Echocardiogram showed an elevated pulmonary artery systolic pressure (PASP: 90mm Hg) with a D-shaped left ventricle. Chest computed tomography (CT) angiogram showed the right pulmonary artery arising from the posterior aspect of the ascending aorta (►Fig. 1) with a 4-mm saccular aneurysm in the right lower pulmonary artery associated with surrounding air space consolidation representing alveolar hemorrhage (►Fig. 2). Surgical management was considered high risk due to severe pulmonary hypertension. Embolizationwas done via left brachial artery access. A 5Fr diagnostic catheter was advanced over a guidewire to the ascending aorta followed by selection of the anomalous right pulmonary artery. Angiogram showed anomalous origin of the right pulmonary artery from the posterior aspect of ascending aorta with a subsegmental pulmonary artery aneurysm (►Fig. 3). A microcatheter was advanced distal to the aneurysm followed by embolization using Concerto detachable 5mm 20 cm micro coils (Medtronic, Minnesota, United States). Postembolization angiogram showed complete exclusion of the aneurysm (►Fig. 4). The patient was discharged 2 days later with no more hemoptysis, and continued on medical management for pulmonary hypertension. No recurrent episodes of hemoptysis reported at 6-month follow-up. The patient is planned for surgical correction of the hemitruncus arteriosus after controlling the symptoms of pulmonary hypertension and optimization of medical management. Hemitruncus arteriosus develops during the fetal period due to failure or incomplete leftward migration of the right posterior aortic arch that leads to development of the right pulmonaryartery fromtheposterioraspectofascendingaorta. This is eight times more frequent on the right than the left.1 Hemitruncus arteriosus presents during the early neonatal period by signs and symptoms of elevated pulmonary arterial pressure.2 Surgical management by correction of these anomalies is the treatment of choice, and survival rate is as low as 30% if left untreated.3 Late presentation of Hemitruncus arteriosus in adulthood was reported only in 16 cases in the literature.4 Surgical repair of hemitruncus is done early in the infancy. However, there are reported cases showing effective surgical repair even in late presentation tominimize complications of pulmonary hypertension.5 The cause of pulmonary artery aneurysm in this case remains unclear, especially with the absence of trauma, pulmonary artery interventions, or documented pulmonary infection. Chronic exposure to high systemic arterial pressure is presumed to be the e","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"06 1","pages":"106 - 107"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48992523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}