Pulmonary artery pressure changes during ethanol embolization procedures to treat vascular malformations: can cardiovascular collapse be predicted?

Journal of Vascular and Interventional Radiology : JVIR
Sally E MitchellDeborah Schwengel

Abstract

Ethanol has been used for embolization of vascular malformations. Cardiovascular collapse, although rare, has been reported, occurring immediately to a few hours after ethanol embolization. The pathophysiology has been theoretically attributed to direct toxicity to the cardiac conduction system or pulmonary artery (PA) vasospasm leading to cardiovascular collapse. Because of cardiovascular collapse in one patient at the authors' institution, it was standard of care at the time of this study to monitor the pulmonary artery pressures during ethanol embolization. This study was conducted to clarify the effect of ethanol on the PA pressure during these procedures. Data from 92 ethanol embolization procedures performed on 56 patients with vascular malformations between May 2001 and May 2003 are reported. PA and noninvasive cuff systemic pressures were recorded before and after each injection and also before and after the entire procedure. Upper limit for volume of ethanol used during these procedures was drawn at 1 mL/kg. Simple and multiple linear regression analyses were done to study factors affecting changes in PA and systemic blood pressure. For each injection, ethanol volume averaged 3.1 mL per injection. The systolic systemic...Continue Reading

References

Sep 1, 1990·Radiographics : a Review Publication of the Radiological Society of North America, Inc·W F YakesT E Carter
May 1, 1988·Medical Toxicology and Adverse Drug Experience·B AdinoffM Linnoila
Mar 1, 1986·AJR. American Journal of Roentgenology·L GarelJ Sauvegrain
Oct 1, 1986·Clinical Cardiology·P KoskinenJ Heikkilä
Sep 1, 1980·Surgery, Gynecology & Obstetrics·W E Gower, H Kersten
May 8, 2001·Journal of Vascular and Interventional Radiology : JVIR·F D HammerR R Vanwijck
Oct 25, 2002·International Archives of Occupational and Environmental Health·György UngváryEva Szakmáry
Mar 1, 2004·Seminars in Interventional Radiology·Wayne F Yakes
Sep 8, 2011·The Journal of Clinical Endocrinology and Metabolism·Ian D Hay, J William Charboneau

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Citations

Nov 3, 2007·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Koniparambil P UnnikrishnanPuthuvassery R Suneel
Mar 17, 2011·Cardiovascular and Interventional Radiology·Anne Marie Cahill, Els Louisa Francine Nijs
Aug 11, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Katherine B PuttgenSally E Mitchell
Sep 1, 2008·Seminars in Interventional Radiology·Sandeep VaidyaManrita Sidhu
Jul 7, 2012·AJNR. American Journal of Neuroradiology·J PekkolaA Pitkäranta
Oct 22, 2013·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Deming WangXindong Fan
Jul 6, 2014·Insights Into Imaging·Adam HatzidakisApostolos Karantanas
Apr 5, 2011·European Journal of Radiology·Martin SchumacherJohannes Weber
Feb 22, 2011·Techniques in Vascular and Interventional Radiology·Ahmad Alomari, Josée Dubois
Jan 19, 2010·Revue de stomatologie et de chirurgie maxillo-faciale·A-C CollinP Breton
Jun 17, 2009·Techniques in Vascular and Interventional Radiology·Hector Ferral
Sep 13, 2015·Oral and Maxillofacial Surgery Clinics of North America·Antonia Kolokythas
Apr 21, 2009·Journal of Vascular and Interventional Radiology : JVIR·YunBo JinWei Wang
Apr 22, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L SuX Fan
Oct 24, 2014·Cardiovascular and Interventional Radiology·Li-Xin SuXin-Dong Fan
Jul 16, 2014·Case Reports in Critical Care·Raya SabaNkemakolam Iroegbu
Jun 10, 2014·Korean journal of anesthesiology·Jun Young JoSeung Woo Ku
Sep 3, 2014·Journal of Perinatology : Official Journal of the California Perinatal Association·G Cordero-SchmidtJ P Palma
Jul 19, 2018·Current Treatment Options in Cardiovascular Medicine·Allan M Conway, Robert J Rosen
Jan 30, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·David D TieuJonathan A Perkins
Apr 20, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Fumio ChikamoriNobutoshi Kuniyoshi
May 10, 2020·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·FangYun YangZhengYin Liao
Nov 10, 2020·Radiology Research and Practice·Jean-François HakVincent Vidal

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