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Literature DB >> 19716159

Intravascular polymer material after coil embolization of a giant cerebral aneurysm.

Rupal I Mehta¹, Rashi I Mehta, Michael C Fishbein, Orestes E Solis, Reza Jahan, Noriko Salamon, Harry V Vinters, William H Yong.

Abstract

We report the case of an 87-year-old female who died after coil embolization of an intracerebral giant aneurysm. Guglielmi detachable (Boston Scientific Neurovascular, Fremont, CA) and Matrix2 coils (Boston Scientific Neurovascular, Fremont, CA) were used during the procedure to occlude the surgically untreatable left supraclinoid carotid artery aneurysm. Postprocedure imaging studies showed scattered areas of acute infarct involving multiple bilateral vascular territories. Autopsy confirmed widespread infarction due to embolized foreign material, morphologically consistent with hydrophilic polymer originating from the coated Matrix coil and Terumo glidewire (Terumo Medical, Somerset, NJ). Polymer gel is now widely used on several medical devices for interventional procedures worldwide, and we suspect that risks associated with iatrogenic embolization of this substance are underrecognized.

Entities: Chemical Disease Species

Mesh：

Substances：
Polymers

Year: 2009 PMID： 19716159 PMCID： PMC2783736 DOI： 10.1016/j.humpath.2009.04.027

Source DB: PubMed Journal: Hum Pathol ISSN： 0046-8177 Impact factor: 3.466

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