Acute Cor Pulmonale and Right Heat Failure Complicating Ethanol Ablative Therapy: Anesthetic and Radiologic Considerations and Management

Journal Article · Tue Oct 15 00:00:00 EDT 2013 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-013-0549-7· OSTI ID:22208016

Naik, Bhiken ^[1]; Matsumoto, Alan H. ^[2]

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1. University of Virginia, Department of Anesthesiology (United States)
2. University of Virginia, Department of Radiology and Medical Imaging (United States)

Ethanol is an effective ablative agent used for the treatment of certain solid organ tumors and vascular malformations (VMs). The egress of ethanol beyond the target tissue can be associated with significant changes to the cardiopulmonary system that can lead to cardiac arrest. This article reviews the contemporary role of ethanol in tumor and VM treatment and discusses the physiological mechanisms of acute pulmonary hypertension and cardiovascular collapse. The importance of periprocedural recognition of the hemodynamic changes that can occur with the use of ethanol and the treatment of this condition are discussed.

• OSTI ID: 22208016
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 36, Issue 5; Other Information: Copyright (c) 2013 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ANESTHETICS
ANIMAL TISSUES
ETHANOL
HEAT
HYPERTENSION
MALFORMATIONS
NEOPLASMS
REVIEWS
THERAPY