Embolization and bleeding in patients with anticardiolipin antibodies

Abstract

The patient, a 32-year-old male, was positive for anti-cardiolipin antibody syndrome and had a history of smoking for 15 years. He underwent “inferior vena cava filter implantation + catheter hemolysis” 10 years ago due to deep vein thrombosis of the right lower limb. After surgery, he continued to take farwarin and aspirin orally. Three years ago, due to thrombosis again, intravenous thrombolysis was performed in the lower extremity. After surgery, pharhualin was taken orally continuously. Massive hemoptysis occurred after intense exercise and eating spicy stimulating food 5 months ago. DSA showed abnormal bleeding in the right bronchial artery and right internal thoracic artery, so 300-500 um microsphere was used to embolize the peripheral artery. 350-560 um PVA granules embolized bronchial arteries; Three months ago, due to the recurrence of hemoptysis after oral administration of TCM blood-promoting drugs, angiography showed an increase in the number of responsible arteries, abnormal bleeding of the left bronchial artery and the right upper lobar bronchial artery of the lung segment, the formation of the middle and lower lobar bronchial artery of the right lung segment and the formation of collateral circulation of the right internal thoracic artery. Embolization of the above arteries was performed, and the patient recovered well after surgery and was discharged from hospital.