Manethová Monika, Šteiner Ivo
Cesk Patol. 2021 Spring;57(1):40-43.
Iatrogenic hydrophilic polymer embolization (HPE) is an underrecognised complication of endovascular procedures. In certain instances, HPE and related complications may lead to patiens death. Incidence of this phenomenon is not known. We evaluated retrospectively all autopsies of patients with a history of endovascular intervention performed by one pathology resident during a period of 8 months. There were 10 cases, which were examined histochemically and in polarized light. We detected HPE in 2 of the 10 cases. In both cases the involved organ were lungs. Hydrophilic polymer embolization is a potential and easy-to-miss complication of endovascular procedures. It must be considered during histological examination of autoptic material.
医源性亲水性聚合物栓塞（HPE）是血管内操作一种未被充分认识的并发症。在某些情况下，HPE及相关并发症可能导致患者死亡。这种现象的发生率尚不清楚。我们回顾性评估了一名病理住院医师在8个月期间对有血管内介入治疗史患者进行的所有尸检。共有10例，进行了组织化学和偏光显微镜检查。我们在10例中的2例中检测到HPE。这两例中受累器官均为肺。亲水性聚合物栓塞是血管内操作一种潜在且容易漏诊的并发症。在尸检材料的组织学检查中必须予以考虑。
