Feasibility of Endovascular Catheter Biopsy as a Diagnostic Modality for Patients With Pulmonary Artery Sarcoma: Case Series of a Single-Center Experience

Vascular and Endovascular Surgery
Byoung Soo KwonJae Seung Lee

Abstract

Pulmonary artery sarcoma (PAS) is a rare but lethal malignant neoplasm that often mimics pulmonary artery embolism. However, owing to its rarity as well as fatality, there has been no firm consensus with regard to the standard diagnostic tool. We evaluate the feasibility of endovascular catheter biopsy as a diagnostic modality for PAS. We retrospectively reviewed the medical records of patients with histologically confirmed PAS between 2000 and 2016 at Asan Medical Center. Among a total of 25 patients with PAS, 5 patients underwent endovascular catheter biopsy and 3 of them were successfully diagnosed with PAS, while 2 patients underwent either endobronchial ultrasonography-transbronchial needle aspiration or surgical biopsy after failure of endovascular biopsy. There were no acute or fatal complications of endovascular catheter biopsy such as bleeding or pulmonary infarction. In conclusion, we suggest the endovascular catheter biopsy is an effective and safe diagnostic tool for patients with PAS, when clinically indicated.

References

Apr 1, 1990·The Thoracic and Cardiovascular Surgeon·I KrügerW Gross-Fengels
Feb 14, 2006·Heart, Lung & Circulation·Eli LevyEli Milgalter
Dec 10, 2008·Respiration; International Review of Thoracic Diseases·J AumillerR Eberhardt
Feb 24, 2009·The Annals of Thoracic Surgery·Shanda H BlackmonMichael Reardon
Jun 2, 2012·The European Respiratory Journal·David MontaniMarc Humbert
Jan 16, 2015·Journal of Bronchology & Interventional Pulmonology·Farah Al-SaffarAdil Shujaat
Oct 7, 2016·Journal of Korean Medical Science·Yunkyoung LeeJae Seung Lee
Oct 18, 2016·Journal of Thoracic Disease·Debabrata BandyopadhyayMatthew C Bunte

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Citations

Jul 6, 2019·Annals of Vascular Diseases·Yoshimi FujiiYutaka Imai
Jan 19, 2021·Pulmonary Circulation·Shuai ZhangZhenguo Zhai

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Methods Mentioned

BETA
biopsy
biopsies
surgical resection

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