Severe pulmonary oedema following therapeutic embolization with Onyx for cerebral arteriovenous malformation.

Abstract:

:Acute respiratory distress syndrome (ARDS) is characterized by sudden onset of respiratory distress, infiltrates on radiographs consistent with pulmonary oedema, hypoxaemia and increased work in breathing. Infiltrates on radiographs are bilateral, but may be patchy or diffuse and fluffy or dense. It is associated with absence of left heart failure and a PaO2/FiO2 ratio of < or =200. Ethylene vinyl alcohol copolymer dissolved in dimethyl sulfoxide (DMSO), which was approved by the US FDA in July 2005, is used as an embolic agent for cerebral arteriovenous malformation (AVM). It is a biocompatible liquid polymer that precipitates and solidifies on contact with blood, thus forming a soft and spongy embolus. We report a case of ARDS following therapeutic embolization with ethylene vinyl alcohol copolymer for cerebral AVM under general anaesthesia. Experienced perioperative physicians adopted standard anaesthetic technique and monitoring for this procedure. Acute respiratory distress and hypoxaemia developed in the patient following extubation of the trachea. Infiltrates seen on postprocedural chest radiographs were consistent with pulmonary oedema. DMSO, the solvent for the ethylene vinyl alcohol copolymer, is excreted via the lungs after administration and we postulate that DMSO was the possible cause of ARDS in this patient. Monitoring of haemodynamic parameters (invasive blood pressure, electrocardiography) and ventilatory parameters (ETCO2, SpO2, airway pressure monitoring) are important in the recognition of this possible event. One should be vigilant and anticipate this complication following therapeutic embolization with ethylene vinyl alcohol polymer for the treatment of cerebral AVM.

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Murugesan C,Saravanan S,Rajkumar J,Prasad J,Banakal S,Muralidhar K

doi

10.1007/s00234-007-0348-4

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

439-42

issue

5

eissn

0028-3940

issn

1432-1920

journal_volume

50

pub_type

杂志文章
  • Comparison of echo-planar sequences for perfusion-weighted MRI: which is best?

    abstract::We compared gradient-echo (GRE), spin-echo (SE) and stimulated-echo (STE) echo-planar imaging sequences for perfusion-weighted imaging at different field strengths. Focal cerebral ischaemia was induced by endovascular occlusion of the middle cerebral artery in eight rats. MR was performed at 4.7 T or 2.35 T. With each...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002340050570

    authors: Heiland S,Kreibich W,Reith W,Benner T,Dörfler A,Forsting M,Sartor K

    更新日期:1998-04-01 00:00:00

  • Incidence of abnormal retropharyngeal lymph nodes in sinonasal malignancies among adults.

    abstract:INTRODUCTION:The aim of this study is to investigate the relationship between abnormal retropharyngeal lymph nodes (RPLNs) and sinonasal malignancies among adults. METHODS:Magnetic resonance and computed tomography images from 89 patients over 20 years old who were all histopathologically confirmed to have sinonasal m...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-014-1428-x

    authors: Sai A,Shimono T,Yamamoto A,Takeshita T,Ohsawa M,Wakasa K,Miki Y

    更新日期:2014-12-01 00:00:00

  • Accidental introduction of contrast medium into the cervical spinal cord. A case report.

    abstract::The density of metrizamide injected accidentally into the spinal cord during cervical CT myelography was measured with CT scanning and compared with a series of dilutions of metrizamide scanned with a special phantom. The test suggests that the metrizamide is diluted rapidly in the spinal canal, and in an accidental i...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00342522

    authors: Servo A,Laasonen EM

    更新日期:1985-01-01 00:00:00

  • Mechanical thrombectomy in isolated large vessel posterior cerebral artery occlusions.

    abstract:PURPOSE:Mechanical thrombectomy (MT) in posterior circulation large vessel occlusion (LVO), including posterior cerebral artery (PCA), has not been validated since all five major MT trials excluded such patients. To evaluate the feasibility and preliminary safety and efficacy of MT in isolated PCA occlusion stroke pati...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-020-02505-w

    authors: Memon MZ,Kushnirsky M,Brunet MC,Saini V,Koch S,Yavagal DR

    更新日期:2021-01-01 00:00:00

  • Chronological changes in nonhaemorrhagic brain infarcts with short T1 in the cerebellum and basal ganglia.

    abstract::Our purpose was to investigate nonhaemorrhagic infarcts with a short T1 in the cerebellum and basal ganglia. We carried out repeat MRI on 12 patients with infarcts in the cerebellum or basal ganglia with a short T1. Cerebellar cortical lesions showed high signal on T1-weighted spin-echo images beginning at 2 weeks, wh...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002349900242

    authors: Komiyama M,Nakajima H,Nishikawa M,Yasui T

    更新日期:2000-07-01 00:00:00

  • Transcutaneous angioplasty of vertebral artery atheromatous ostial stricture.

    abstract::The authors report experience of intravascular angioplasty of atheromatous ostial strictures of the vertebral artery in 24 patients. After reviewing the technique, they outline the indications provided through Doppler velocimetric data. The results seem to be encouraging as symptoms disappeared completely in 21 patien...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00344498

    authors: Courtheoux P,Tournade A,Theron J,Henriet JP,Maiza D,Derlon JM,Pelouze G,Evrard C

    更新日期:1985-01-01 00:00:00

  • The approximate planimetric method: a simple, rapid and reliable method for estimation of lesion size in acute ischemic stroke.

    abstract::Magnetic resonance imaging is increasingly used in stroke trials for early diagnosis and follow-up of lesion size. Since volumetric measurement remains a laborious and time-consuming task, a rapid and reliable method for the assessment of lesion size has been developed and validated in diffusion weighted imaging (DWI)...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-002-0924-6

    authors: Hasselblatt M,Stiefel M,Rustenbeck HH,Breiter N,Grabbe E,Ehrenreich H

    更新日期:2003-03-01 00:00:00

  • Unusual migration of a foreign body from the gut to a vertebral body.

    abstract::We report a unique case in which a needle was accidentally swallowed and migrated into the vertebral body. Plain films and CT of the spine revealed fragmented, linear, metallic-density material in the L3 vertebral body. The possible mechanisms of the migration are discussed. ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002340050663

    authors: Ozsunar Y,Tali ET,Kilic K

    更新日期:1998-10-01 00:00:00

  • Prognostic value of rCBF measurements and CT in focal cerebral ischemia.

    abstract::CT is the most effective examination technique for studying the evolution of ischemic attacks, but if performed within the first 3 weeks it does not allow prognosis of possible evolution towards necrosis. CBF measurement and vasoreactivity tests under Althesin do allow this prognosis. Thirty patients whose evolution w...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00395259

    authors: Caillé JM,Constant P,Renou AM,Billerey J

    更新日期:1978-01-01 00:00:00

  • The demonstration of the auditory ossicles by high resolution CT.

    abstract::The high resolution CT scanning system introduced by EMI in 1978 has added a new dimension to computerised tomography in otology. The apparatus used for this study was an EMI CT 5005 body scanner adapted for head and neck scanning and incorporating a high resolution facility. The latter has proved most advantageous in...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00327687

    authors: Lloyd GA,du Boulay GH,Phelps PD,Pullicino P

    更新日期:1979-12-12 00:00:00

  • Impact of white matter hyperintensities on surrounding white matter tracts.

    abstract:PURPOSE:It is unclear how white matter hyperintensities disrupt surrounding white matter tracts. The aim of this tractography study was to determine the spatial relationship between diffusion characteristics along white matter tracts and the distance from white matter hyperintensities. METHODS:Diffusion tensor 3-T MRI...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-018-2053-x

    authors: Reginold W,Sam K,Poublanc J,Fisher J,Crawley A,Mikulis DJ

    更新日期:2018-09-01 00:00:00

  • Endovascular occlusion of direct carotid cavernous fistula with detachable balloons: usefulness of 3D angiography.

    abstract::The objective of this study is to show rotational 3D angiography findings and their usefulness in the occlusion of carotid cavernous fistulas (CCFs) using detachable balloons. Five patients with direct CCF were retrospectively reviewed for details of interventional procedures and 2D and 3D angiography findings. Prethe...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-005-1337-0

    authors: Kwon BJ,Han MH,Kang HS,Chang KH

    更新日期:2005-04-01 00:00:00

  • Postmortem MRI of the brain with neuropathological correlation.

    abstract::We prospectively correlated in vitro MRI of the brain with the neuropathological findings in patients with suspected intracranial disease. In vitro MRI was performed on 91 consecutive formalin-fixed whole-brain specimens. In 60 cases, the images were correlated with the neuropathological findings (number of lesions, l...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00588007

    authors: van den Hauwe L,Parizel PM,Martin JJ,Cras P,De Deyn P,De Schepper AM

    更新日期:1995-07-01 00:00:00

  • Computed tomographic diagnosis of septic sinus thrombosis and their complications.

    abstract::The authors report on five cases of septic sinus thrombosis occurring as early complications and/or long-term complications of infections in the head and neck region. The necessity for early diagnosis of this condition by high-resolution CT scanning is emphasized, as it provides a reliable diagnostic tool to evaluate ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00395618

    authors: de Slegte RG,Kaiser MC,van der Baan S,Smit L

    更新日期:1988-01-01 00:00:00

  • Angioplasty and stenting of the cervical carotid bifurcation: report of a 4-year series.

    abstract::Over a period of 46 months, 71 cervical carotid bifurcation stenotic lesions were treated by angioplasty and/or stenting. The stenosis was atherosclerotic in 61 cases, post-surgical or post-radiation in ten cases. The initial technical choice was that of primary stenting without cerebral protection; this attitude has ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002340100680

    authors: Bonaldi G

    更新日期:2002-02-01 00:00:00

  • Intracranial plasma cell granuloma.

    abstract::We present a case of plasma cell granuloma involving the dura mater with infiltration of the adjacent brain parenchyma. The radiological and pathological features of this entity are described. ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF02278129

    authors: Breidahl WH,Robbins PD,Ives FJ,Wong G

    更新日期:1996-05-01 00:00:00

  • Stent-assisted coil embolization of wide-necked posterior inferior cerebellar artery aneurysms.

    abstract:INTRODUCTION:Endovascular coil embolization of posterior circulation aneurysms has advantages over a surgical approach. However, the application of coil embolization is sometimes limited in wide-necked posterior inferior cerebellar artery (PICA) aneurysms, which are incorporating the origin of the branch. Presented her...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-013-1178-1

    authors: Cho YD,Kang HS,Lee WJ,Kim KM,Kim JE,Han MH

    更新日期:2013-07-01 00:00:00

  • Massive ischemic cerebellar infarction due to cocaine use.

    abstract::This young female suffered massive unilateral infarction of the cerebellum due to cocaine use. While cocaine-associated small, asymptomatic cerebellar infarcts have been reported in the literature, massive, symptomatic cerebellar infarction attending the use of cocaine has not been previously reported. ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00598624

    authors: Aggarwal S,Byrne BD

    更新日期:1991-01-01 00:00:00

  • Patterns of neonatal hypoxic-ischaemic brain injury.

    abstract::Enormous progress has been made in assessing the neonatal brain, using magnetic resonance imaging (MRI). In this review, we will describe the use of MRI and proton magnetic resonance spectroscopy in detecting different patterns of brain injury in (full-term) human neonates following hypoxic-ischaemic brain injury and ...

    journal_title:Neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00234-010-0674-9

    authors: de Vries LS,Groenendaal F

    更新日期:2010-06-01 00:00:00

  • Lack of aneurysm formation after carotid artery ligation in rabbits: a polymer MICROFIL® study.

    abstract:INTRODUCTION:Previous studies have noted formation of saccular aneurysms along the distal basilar artery/P1 segments after carotid ligation in rabbits. In this prospective study we employed MICROFIL®, a polymer, which was used to fill the entire arterial tree, to examine the incidence of microaneurysm formation followi...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-012-1070-4

    authors: Dai D,Ding YH,Kadirvel R,Rad AE,Lewis DA,Kallmes DF

    更新日期:2013-01-01 00:00:00

  • Quantitative diffusion characteristics of the human brain depend on MRI sequence parameters.

    abstract::Quantitative diffusion-weighted MRI has been applied to the study of neurological diseases, including multiple sclerosis, where the molecular self-diffusion coefficient D has been measured in both lesions and normal-appearing white matter. Histograms of D have been used as a novel measure of the "lesion load", with po...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-002-0797-8

    authors: Wilson M,Morgan PS,Blumhardt LD

    更新日期:2002-07-01 00:00:00

  • Quantitative investigation of the x-ray absorption coefficient in computed tomography. An approach to numerical diagnosis.

    abstract::From printout data of 50 normal and 50 abnormal scans of a brain slice picking up the basal ganglia the numerical values of SD and DC were obtained and those values lying inside M + 2sigma were arbitrarily regarded as normal. By these criteria two cases (4%) were diagnosed as false negative and three cases (6%) as fal...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00395375

    authors: Yamamoto M,Imanaga H,Jimbo M,Kitamura K,Saito Y,Kobayashi N

    更新日期:1978-01-01 00:00:00

  • Fat-suppression contrast-enhanced MRI in the failed back surgery syndrome: a prospective study.

    abstract::We examined 25 patients with recurrent pain after lumbar disk surgery with MRI to evaluate the usefulness of gadolinium (Gd)-enhanced fat-suppression (FS) imaging in patients with failed back surgery. Pulse sequences included T1-weighted (T1W) images, Gd-enhanced T1W images, and Gd-enhanced T1W images with FS. The add...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00588520

    authors: Georgy BA,Hesselink JR,Middleton MS

    更新日期:1995-01-01 00:00:00

  • Positional MRI: a technique for confirming the site of leakage in cerebrospinal fluid rhinorrhoea.

    abstract::We report confirmation of the site of leakage in two patients with spontaneous cerebrospinal fluid (CSF) rhinorrhoea by demonstrating CSF leaking on MRI. Both patients had midline anterior cranial fossa floor (cribriform plate/fovea ethmoidalis) dural-bone defects with arachnoid herniation with or without brain hernia...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002340050512

    authors: Gupta V,Goyal M,Mishra NK,Sharma A,Gaikwad SB

    更新日期:1997-11-01 00:00:00

  • The combination of baseline magnetic resonance perfusion-weighted imaging-derived tissue volume with severely prolonged arterial-tissue delay and diffusion-weighted imaging lesion volume is predictive of MCA-M1 recanalization in patients treated with endo

    abstract:INTRODUCTION:Indices of collateral flow deficit derived from MR perfusion imaging that are predictive of MCA-M1 recanalization after intravenous thrombolysis have been recently reported. Our objective was to test the performance of such MRI-derived collateral flow indices for prediction of recanalization after endovasc...

    journal_title:Neuroradiology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00234-013-1310-2

    authors: Nicoli F,Scalzo F,Saver JL,Pautot F,Mitulescu A,Chaibi Y,Girard N,Salamon N,Liebeskind DS,UCLA Stroke Investigators.

    更新日期:2014-02-01 00:00:00

  • MR spectroscopy of cerebral white matter in type 2 diabetes; no association with clinical variables and cognitive performance.

    abstract:INTRODUCTION:Type 2 diabetes (DM2) is associated with cognitive decline, but the pathogenesis of this important complication remains unclear. We investigated whether abnormalities in neuronal metabolism or membrane integrity in normal appearing cerebral white matter are associated with cognitive impairment in patients ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-009-0598-4

    authors: Tiehuis A,van der Meer F,Mali W,Pleizier M,Biessels GJ,Kappelle J,Luijten P

    更新日期:2010-02-01 00:00:00

  • A rupture risk analysis of cerebral cavernous malformation associated with developmental venous anomaly using susceptibility-weighted imaging.

    abstract:PURPOSE:To search for the risk factors closely related to cerebral cavernous malformation associated with developmental venous anomaly (CCM-DVA) lesions rupture, laying foundations for the development of reasonable individual treatment plans for patients. METHODS:In this retrospective study, we collected CCM-DVA patie...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-019-02274-1

    authors: Zhang S,Ma L,Wu C,Wu J,Cao Y,Wang S,Zhao J

    更新日期:2020-01-01 00:00:00

  • Further experience with contrast-enhanced CT in head trauma.

    abstract::Abnormal contrast enhancement was seen in 196 (39.8%) of 492 CT scans performed on patients for evaluation of head trauma. It proved most helpful in the diagnosis of isodense subdural hematomas and contusions. The advantages of contrast-enhanced CT scans in the evaluation of head trauma more than compensate for the ad...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00395286

    authors: Tsai FY,Huprich JE

    更新日期:1978-01-01 00:00:00

  • Atherosclerotic ICA stenosis coinciding with ICA asymmetry associated with Circle of Willis variations can mimic near-occlusion.

    abstract::Differentiating carotid near-occlusion (tight atherosclerotic stenosis causing distal artery size reduction) from conventional stenosis is the first step when grading carotid stenoses with NASCET method. The internal carotid artery (ICA) can be asymmetrically associated with Circle of Willis variations. When such ICA ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-019-02309-7

    authors: Johansson E,Aviv RI,Fox AJ

    更新日期:2020-01-01 00:00:00

  • Limitations of routine neuroimaging in predicting outcomes of preterm infants.

    abstract:INTRODUCTION:Preterm births are increasing in number and while the rates of cerebral palsy have declined, there are increasing numbers of infants who survive with handicaps. In some studies, up to 50 % of children will have morbidity when followed up to school age. METHODS:A review of current literature was conducted ...

    journal_title:Neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00234-013-1238-6

    authors: Whyte HE,Blaser S

    更新日期:2013-09-01 00:00:00