Hydrophilic polymer embolization after thoracic endovascular aortic repair

Gary K. Yang, PhD, MD; Alexa Mordhorst, BSc; John Maguire, MD; Michael Janusz, MD; Joel Gagnon, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2019)

Hydrophilic polymer embolization after thoracic endovascular aortic repair

Gary K. Yang, PhD, MD,
Alexa Mordhorst, BSc,
John Maguire, MD,
Michael Janusz, MD,
Joel Gagnon, MD

Affiliations

Gary K. Yang, PhD, MD: Division of Vascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada
Alexa Mordhorst, BSc: Division of Vascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada
John Maguire, MD: Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada
Michael Janusz, MD: Division of Cardiac Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada
Joel Gagnon, MD: Division of Vascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada; Correspondence: Joel Gagnon, MD, Division of Vascular Surgery, Department of Surgery, University of British Columbia, Rm 11115, 2775 Laurel St, Vancouver, BC, Canada V5Z 1M9

Journal volume & issue: Vol. 5, no. 4
pp. 423 – 426

Abstract

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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. Keywords: HPE, TEVAR, Foreign body, End-organ ischemia

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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