Cardiovascular collapse and disseminated intravascular coagulation as complications of ethanol embolization of arteriovenous malformations in the upper lip: case report and literature review.

Cardiovascular collapse and disseminated intravascular coagulation as complications of ethanol embolization of arteriovenous malformations in the upper lip: case report and literature review.

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons (2013-10-22)

Deming Wang, Lixin Su, Xindong Fan

PMID24139295

ABSTRACT

Ethanol has been used for embolization of arteriovenous malformations (AVMs) for 3 decades. Cardiovascular collapse (CVC), although a rare complication, has been reported and occurs immediately to a few hours after ethanol embolization. The present report describes a case of CVC and disseminated intravascular coagulation (DIC) after ethanol embolotherapy in a patient with upper lip AVMs. Although resuscitated from asystole, the patient died of DIC 2 days later despite intensive care treatment.

MATERIALS

Product Number

Brand

Product Description

493511

Sigma-Aldrich

Ethyl alcohol, Pure, 190 proof, ACS spectrophotometric grade, 95.0%

E-040

Supelco

Ethanol-10, 10 mg/dL in H₂O, pack of 10 × 1.2 mL ampules, certified reference material, Cerilliant^®

E-041

Supelco

Ethanol-150, 150 mg/dL in H₂O, ampule of 10 × 1.2 mL, certified reference material, Cerilliant^®

E-045

Supelco

Ethanol-40, 40 mg/dL in H₂O, ampule of 10 × 1.2 mL, certified reference material, Cerilliant^®

29221

Sigma-Aldrich

Ethanol, tested according to Ph. Eur.

459844

Sigma-Aldrich

Ethyl alcohol, Pure, 200 proof, ACS reagent, ≥99.5%

E7023

Sigma-Aldrich

Ethyl alcohol, Pure 200 proof, Molecular Biology

459836

Sigma-Aldrich

Ethyl alcohol, Pure, 200 proof, anhydrous, ≥99.5%

493546

Sigma-Aldrich

Ethyl alcohol, Pure, 200 proof, meets USP testing specifications

02851

Sigma-Aldrich

Ethanol

51976

Sigma-Aldrich

Ethanol, BioUltra, Molecular Biology, ≥99.8%, (absolute alcohol, without additive, A15 o¹)

02857

Sigma-Aldrich

Ethanol, purum, fine spirit, denaturated with 4.8% methanol, F25 METHYL¹, ~96% (based on denaturant-free substance)

02483

Supelco

Ethanol, standard for GC

E-029

Supelco

Ethanol-50, 50 mg/dL in H₂O, ampule of 10 × 1.2 mL, certified reference material, Cerilliant^®

E-030

Supelco

Ethanol-80, 80 mg/dL in H₂O, ampule of 10 × 1.2 mL, certified reference material, Cerilliant^®

E-031

Supelco

Ethanol-100 (10 ampules/kit), 100 mg/dL in H₂O, ampule of 10 × 1.2 mL, certified reference material, Cerilliant^®

E-033

Supelco

Ethanol-300, 300 mg/dL in H₂O, ampule of 10 × 1.2 mL, certified reference material, Cerilliant^®

E-032

Supelco

Ethanol-200 (10 ampules/kit), 200 mg/dL in H₂O, ampule of 10 × 1.2 mL, certified reference material, Cerilliant^®

1012772

USP

Dehydrated Alcohol, United States Pharmacopeia (USP) Reference Standard

48075

Supelco

Ethanol solution, certified reference material, 2000 μg/mL in methanol

676829

Sigma-Aldrich

Reagent Alcohol, anhydrous, ≤0.005% water

277649

Sigma-Aldrich

Reagent Alcohol, anhydrous, ≤0.003% water

E7148

Sigma-Aldrich

Ethyl alcohol, Pure 190 proof, for molecular biology

PHR1070

Supelco

Dehydrated Alcohol, Pharmaceutical Secondary Standard; Certified Reference Material

E-034

Supelco

Ethanol Calibration Kit, ampule of 10 × 1.2 mL, certified reference material, Cerilliant^®

E-036

Supelco

Ethanol-400 (10 ampules/kit), 400 mg/dL in H₂O, ampule of 10 × 1.2 mL, certified reference material, Cerilliant^®

E-053

Supelco

Ethanol-500, 500 mg/dL in H₂O, ampule of 10 × 1.2 mL, certified reference material, Cerilliant^®

E-056

Supelco

Ethanol-20 (10 ampules/kit), 20 mg/dL in H₂O, ampule of 10 × 1.2 mL, certified reference material, Cerilliant^®

E-035

Supelco

Ethanol-25, 25 mg/dL in H₂O, ampule of 10 × 1.2 mL, certified reference material, Cerilliant^®