Cardiovascular collapse and disseminated intravascular coagulation as complications of ethanol embolization of arteriovenous malformations in the upper lip: case report and literature review

Deming Wang; Lixin Su; Xindong Fan

doi:10.1016/j.joms.2013.07.036

Cardiovascular collapse and disseminated intravascular coagulation as complications of ethanol embolization of arteriovenous malformations in the upper lip: case report and literature review

J Oral Maxillofac Surg. 2014 Feb;72(2):346-51. doi: 10.1016/j.joms.2013.07.036. Epub 2013 Oct 16.

Authors

Deming Wang¹, Lixin Su², Xindong Fan³

Affiliations

¹ Resident, Department of Radiology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
² Resident, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
³ Professor, Department of Radiology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address: [email protected].

PMID: 24139295
DOI: 10.1016/j.joms.2013.07.036

Abstract

Ethanol has been used for embolization of arteriovenous malformations (AVMs) for 3 decades. Cardiovascular collapse (CVC), although a rare complication, has been reported and occurs immediately to a few hours after ethanol embolization. The present report describes a case of CVC and disseminated intravascular coagulation (DIC) after ethanol embolotherapy in a patient with upper lip AVMs. Although resuscitated from asystole, the patient died of DIC 2 days later despite intensive care treatment.

Publication types

Case Reports
Review

MeSH terms

Adult
Arteriovenous Malformations / complications
Arteriovenous Malformations / drug therapy*
Central Nervous System Depressants / administration & dosage
Central Nervous System Depressants / adverse effects
Chemoembolization, Therapeutic / adverse effects*
Disseminated Intravascular Coagulation / chemically induced*
Disseminated Intravascular Coagulation / complications
Ethanol / administration & dosage
Ethanol / adverse effects*
Fatal Outcome
Female
Humans
Injections, Intravenous / adverse effects
Lip / abnormalities*
Male
Shock, Cardiogenic / chemically induced*
Shock, Cardiogenic / complications

Substances

Central Nervous System Depressants
Ethanol