Cerebral Lipiodol Embolism after Lymphatic Embolization for Plastic Bronchitis - 12/06/16
Doi : 10.1016/j.jpeds.2016.05.036
Matthew P. Kirschen, MD, PhD 1, 2, 3, ⁎ 
, Yoav Dori, MD, PhD 4, Maxim Itkin, MD 3, 5, Daniel J. Licht, MD 1, 3, Rebecca Ichord, MD 1, 3, Arastoo Vossough, MD, PhD 5
, Yoav Dori, MD, PhD 4, Maxim Itkin, MD 3, 5, Daniel J. Licht, MD 1, 3, Rebecca Ichord, MD 1, 3, Arastoo Vossough, MD, PhD 5 1 Department of Neurology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
2 Department of Anesthesiology and Critical Care, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
3 Department of Pediatrics, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
4 Department of Cardiology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
5 Department of Radiology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
∗Reprint requests: Matthew P. Kirschen, MD, PhD, The Children's Hospital of Philadelphia, 3400 Civic Center Blvd, Suite 8NE66, Philadelphia, PA 19104.The Children's Hospital of Philadelphia3400 Civic Center Blvd, Suite 8NE66PhiladelphiaPA19104
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Abstract |
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.
Le texte complet de cet article est disponible en PDF.Keywords : cerebral embolism, childhood stroke, congenital heart disease, lipiodol, plastic bronchitis
Abbreviations : CLE, CT, TACE
Plan
| D.L. is supported by National Institute of Neurological Disorders and Stroke (R01NS72338, R01 NS060653), National Heart, Lung, and Blood Institute (HL090615-06), National Institute of Child Health and Human Development (UO1HD087180), and the June and Steve Wolfson Family Foundation. R.I. is supported by National Institute of Neurological Disorders and Stroke (U10NS086474) and National Heart, Lung, and Blood Institute (U01 HL094345). The authors declare no conflicts of interest. |
© 2016
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