Cerebral Lipiodol Embolism after Lymphatic Embolization for Plastic Bronchitis

An adolescent with plastic bronchitis due to congenital heart disease had altered mental status after an interventional lymphatic procedure in which lipiodol contrast was used. Neuroimaging revealed cerebral lipiodol embolization due to direct shunting between lymphatic channels and pulmonary veins....

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Veröffentlicht in:	The Journal of pediatrics 2016-09, Vol.176, p.200-203
Hauptverfasser:	Kirschen, Matthew P., MD, PhD, Dori, Yoav, MD, PhD, Itkin, Maxim, MD, Licht, Daniel J., MD, Ichord, Rebecca, MD, Vossough, Arastoo, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Bronchitis - therapy cerebral embolism childhood stroke congenital heart disease Contrast Media - adverse effects Embolization, Therapeutic - methods Ethiodized Oil - adverse effects Humans Intracranial Embolism - chemically induced lipiodol Lymphatic Vessels Male Pediatrics plastic bronchitis
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Beschreibung
Zusammenfassung:	An adolescent with plastic bronchitis due to congenital heart disease had altered mental status after an interventional lymphatic procedure in which lipiodol contrast was used. Neuroimaging revealed cerebral lipiodol embolization due to direct shunting between lymphatic channels and pulmonary veins. Cerebral lipiodol embolization is a potential neurologic morbidity associated with interventional lymphatic procedures.
ISSN:	0022-3476 1097-6833
DOI:	10.1016/j.jpeds.2016.05.036