RESUMO
El secuestro pulmonar es una malformación poco frecuente, que se caracteriza por tejido pulmonar sin conexión con la vía aérea y con vascularización sistémica. El tratamiento tradicional ha sido la cirugía, pero en los últimos años la embolización endovascular es una técnica cada vez más utilizada. Los materiales de embolización usados en la actualidad son los coils y los tapones vasculares tipo Amplatzer®. El tapón vascular Amplatzer® es un dispositivo de malla cilíndrico, autoexpandible, particularmente útil para la embolización de vasos grandes y de alto flujo. Presentamos a continuación 3 casos de secuestro pulmonar tratados mediante embolización con dispositivos de oclusión vascular tipo Amplatzer®. En los 3 casos se realizó el procedimiento sin incidencias, y se comprobó la oclusión total de la colateral aórtico-pulmonar. Nuestra serie aporta nuevos datos sobre la seguridad y eficacia de la embolización de los secuestros pulmonares con tapones vasculares tipo Amplatzer®, y de su preferencia sobre los coils en la embolización de vasos nutricios grandes(AU)
Pulmonary sequestration is a rare malformation characterised by non-functioning lung tissue, separated from the tracheobronchial tree and with arterial supply from the systemic circulation. The classical therapeutic approach is surgical resection. In recent years, the endovascular embolisation technique is increasingly being used for the treatment of this disease. The embolisation materials used are coils and vascular plugs. The Amplatzer® vascular plug is a self-expandable cylindrical mesh device, particularly useful for the embolisation of large vessels with high flow. Three cases of pulmonary sequestration were treated by embolisation with Amplatzer® vascular plugs. In all cases the procedure was performed without complications, and the aortopulmonary collateral vessels were completely occluded.Our study provides new data on the safety and efficacy of pulmonary embolisation with Amplatzer® vascular plugs, and its preference over coils in the embolisation of large vessels(AU)
Assuntos
Humanos , Sequestro Broncopulmonar/cirurgia , Procedimentos Endovasculares/métodos , Embolização Terapêutica , Tamponamento Interno/métodosRESUMO
Pulmonary sequestration is a rare malformation characterised by non-functioning lung tissue, separated from the tracheobronchial tree and with arterial supply from the systemic circulation. The classical therapeutic approach is surgical resection. In recent years, the endovascular embolisation technique is increasingly being used for the treatment of this disease. The embolisation materials used are coils and vascular plugs. The Amplatzer® vascular plug is a self-expandable cylindrical mesh device, particularly useful for the embolisation of large vessels with high flow. Three cases of pulmonary sequestration were treated by embolisation with Amplatzer® vascular plugs. In all cases the procedure was performed without complications, and the aortopulmonary collateral vessels were completely occluded. Our study provides new data on the safety and efficacy of pulmonary embolisation with Amplatzer® vascular plugs, and its preference over coils in the embolisation of large vessels.
Assuntos
Sequestro Broncopulmonar/cirurgia , Procedimentos Endovasculares , Dispositivo para Oclusão Septal , Criança , Feminino , Humanos , LactenteRESUMO
Seasonal influenza virus infection has been associated with a variety of neurologic complications. We report a case of novel influenza A (H1N1) encephalitis in an infant aged 3 months with an upper respiratory infection, who presented seizures. The infection was confirmed in nasopharyngeal aspirate and cerebrospinal fluid. Treatment with oseltamivir was started. He was discharged without any neurologic sequelae.
