Haiping Liu1, Xiaodong Wu2, Xianfeng Zhang3, Chunbo Niu4, Hui Zhu5. 1. Department of Neurology, Changhai Hospital, Navy Medical University, Shanghai, China. 2. Department of Science Research Center, China-Japan Union Hospital, Jilin University, Changchun City, Jilin Province, China. 3. Department of Cerebral Surgery, The First Hospital of Jilin University, Changchun City, Jilin Province, China. 4. Department of Pathology, The First Hospital of Jilin University, Changchun City, Jilin Province, China. 5. Department of Neurology, The First Hospital of Jilin University, No. 71, Xinmin Street, Changchun City, 130021, Jilin Province, China. zhuhui9776@163.com.
Abstract
BACKGROUND: There have been several reports of patients experiencing cerebral embolisms following the injection of autologous fat into the face during cosmetic surgery. These embolisms likely resulted from unintentional introduction of fat particles into facial arteries, which then reached the cerebral arteries by retrograde motion. CASE PRESENTATION: We describe here a patient who developed an internal carotid artery (ICA) embolism after autologous fat injection for temporal augmentation. To our knowledge, this is the first report of a pathologically proven ICA embolism after fat injection into the face. CONCLUSIONS: Our results suggest that the fat particles reached the cerebral arteries via a previously unknown pathway. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
BACKGROUND: There have been several reports of patients experiencing cerebral embolisms following the injection of autologous fat into the face during cosmetic surgery. These embolisms likely resulted from unintentional introduction of fat particles into facial arteries, which then reached the cerebral arteries by retrograde motion. CASE PRESENTATION: We describe here a patient who developed an internal carotid artery (ICA) embolism after autologous fat injection for temporal augmentation. To our knowledge, this is the first report of a pathologically proven ICA embolism after fat injection into the face. CONCLUSIONS: Our results suggest that the fat particles reached the cerebral arteries via a previously unknown pathway. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Authors: Luigi Schiraldi; Gianluca Sapino; Joachim Meuli; Michele Maruccia; Mario Cherubino; Wassim Raffoul; Pietro G di Summa Journal: J Clin Med Date: 2022-08-11 Impact factor: 4.964