Department of Nephrology, Louisiana State University Health Sciences Center, Shreveport, LA 71130, USA.
Am J Kidney Dis. 2013 Jun;61(6):984-7. doi: 10.1053/j.ajkd.2012.12.021. Epub 2013 Feb 9.
Many of the tools used in interventional nephrology, such as glidewires and sheaths, are coated with a hydrophilic polymer to increase their lubricity; however, this polymer can shear off, which causes polymer embolization. We describe 3 cases in which polymer emboli were found on histopathologic examination in an arteriovenous graft, a transplanted kidney, and the myocardium. A review of the literature shows that although most of these phenomena are benign, in some patients, it may present with significant morbidity.
介入肾脏病学中使用的许多工具,如导丝和护套,都涂有亲水聚合物以增加其润滑性;然而,这种聚合物可能会脱落,从而导致聚合物栓塞。我们描述了 3 例在动静脉移植物、移植肾和心肌的组织病理学检查中发现聚合物栓塞的病例。对文献的回顾表明,尽管这些现象大多数是良性的,但在某些患者中,它可能会导致严重的发病率。