Naik Shweta S, Sudhir V, Arvinda H R, Radhakrishnan M, Rao G S Umamaheswara
Department of Neuroanaesthesia, National Institute of Mental Health and NeuroSciences, Hosur Road, Bengaluru, Karnataka, PIN 560029, India,
Childs Nerv Syst. 2015 Sep;31(9):1607-11. doi: 10.1007/s00381-015-2732-4. Epub 2015 May 5.
Systemic complications following liquid glue embolisation of intracranial pial arteriovenous fistulae (AVF) are uncommonly reported. We report a patient who had a pulmonary embolism of a liquid glue during endovascular treatment of a pial AVF. The patient had haemodynamic instability, pulmonary hypertension, increased alveolar dead space and increased brain natriuretic peptide levels. In addition to other supportive measures, her pulmonary hypertension was controlled with sildenafil. Ten months after the event, the patient had a considerable improvement of the clinical and laboratory variables and a significant radiographic resolution of the glue from the pulmonary circulation.
颅内软膜动静脉瘘（AVF）液体胶水栓塞术后的全身并发症鲜有报道。我们报告一例在软膜AVF血管内治疗期间发生液体胶水肺栓塞的患者。该患者出现血流动力学不稳定、肺动脉高压、肺泡死腔增加和脑钠肽水平升高。除其他支持措施外，其肺动脉高压通过西地那非得到控制。事件发生十个月后，患者的临床和实验室指标有显著改善，肺部循环中的胶水在影像学上也有明显消退。
