Shanghai Journal of Stomatology ›› 2016, Vol. 25 ›› Issue (4): 511-512.

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Cardiovascular depression and intravascular hemolysis secondary to ethanol injection for arteriovenous malformation

CAI Mei-hua1, SU Li-xin2, QIU Lin1   

  1. 1.Department of Anesthesiology, 2.Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China
  • Received:2015-05-29 Online:2016-08-25 Published:2016-09-06

Abstract: Ethanol is the only liquid embolization agent which can cure arteriovenous malformation. Complications of ethanol embolization are not rare including local tissue injury, intravascular hemolysis and cardiovascular depression even collapse, etc. This report presented a case of long time cardiovascular depression and intravascular hemolysis secondary to ethanol embolotherapy of right ear. In order to avoid the fatal complications that are associated with ethanol sclerotherapy, anesthesiologists should consider the use of continuously invasive hemodynamic monitoring while surgeons should carefully choose the dose of ethanol.

Key words: Ethanol, Arteriovenous malformation, Intravascular hemolysis, Circulation depression, Anesthesia

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