胸主动脉腔内修复术后的亲水性聚合物栓塞

Yang Gary K, Mordhorst Alexa, Maguire John, Janusz Michael, Gagnon Joel

Division of Vascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.

Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

J Vasc Surg Cases Innov Tech. 2019 Oct 5;5(4):423-426. doi: 10.1016/j.jvscit.2019.05.002. eCollection 2019 Dec.

Hydrophilic polymer embolization is a rare complication after endovascular procedures that is currently underappreciated. Present understanding on this phenomenon relies on sparse case reports with histologic evidence of foreign polymers in end-organ tissue. Here, we report two deaths associated with hydrophilic polymer embolization after complex thoracic endovascular aortic repair.

亲水性聚合物栓塞是血管内手术后一种罕见的并发症，目前尚未得到充分认识。目前对这一现象的了解依赖于少量的病例报告，这些报告中有终末器官组织中存在外来聚合物的组织学证据。在此，我们报告了两例在复杂的胸主动脉腔内修复术后与亲水性聚合物栓塞相关的死亡病例。