caa a22 4500 475755812 CHVBK 20180406123537.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s002470050741 doi (NATIONALLICENCE)springer-10.1007/s002470050741 Pulmonary emboli following therapeutic embolization of cerebral arteriovenous malformations in children [Elektronische Daten] [I. B. Kjellin, M. I. Boechat, F. Vinuela, S. J. Westra, G. R. Duckwiler] Background. Reports of the complicating side effect of pulmonary embolism (PE) following endovascular therapy of cerebral arteriovenous malformations (AVM) in children have been limited in number. Details of its occurrence are yet to be fully elucidated.¶Objective. The hypothesis is that inadvertent pulmonary migration of embolic material is common and may go unrecognized.¶Materials and methods. Forty-seven patients (ages 1 day to 16 years and 11 months) underwent embolization of a cerebral AVM with at least one material (cyanoacrylate, platinum coils, detachable balloons, polyvinyl alcohol particles). The medical records and chest radiographs were reviewed retrospectively. Chest radiographs were available in 34 patients. The radiographs were analyzed for the presence or absence of foreign material in the lungs.¶Results. The chest radiographs in 12 patients (35 %) showed pulmonary deposits of embolic material; cyanoacrylate in 10 patients and platinum coils in 2. Two of the patients with cyanoacrylate deposits in the lungs developed respiratory distress that required endotracheal intubation. The patients gradually improved after a time period of 7-10 days with conservative treatment.¶Conclusion. PE is not an uncommon complication in children undergoing embolization of brain AVM. Although usually asymptomatic, PE may cause severe symptoms. Springer-Verlag Berlin Heidelberg, 2000 Kjellin I. B. Department of Radiological Sciences, UCLA School of Medicine, Center of the Health Sciences, 10 833 Le Conte Avenue, Los Angeles, CA 90095-1721, USA, US aut Boechat M. I. Department of Radiological Sciences, UCLA School of Medicine, Center of the Health Sciences, 10 833 Le Conte Avenue, Los Angeles, CA 90095-1721, USA, US aut Vinuela F. Department of Radiological Sciences, UCLA School of Medicine, Center of the Health Sciences, 10 833 Le Conte Avenue, Los Angeles, CA 90095-1721, USA, US aut Westra S. J. Department of Radiological Sciences, UCLA School of Medicine, Center of the Health Sciences, 10 833 Le Conte Avenue, Los Angeles, CA 90095-1721, USA, US aut Duckwiler G. R. Department of Radiological Sciences, UCLA School of Medicine, Center of the Health Sciences, 10 833 Le Conte Avenue, Los Angeles, CA 90095-1721, USA, US aut https://doi.org/10.1007/s002470050741 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002470050741 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kjellin I. B. Department of Radiological Sciences, UCLA School of Medicine, Center of the Health Sciences, 10 833 Le Conte Avenue, Los Angeles, CA 90095-1721, USA, US aut NATIONALLICENCE 700 1- Boechat M. I. Department of Radiological Sciences, UCLA School of Medicine, Center of the Health Sciences, 10 833 Le Conte Avenue, Los Angeles, CA 90095-1721, USA, US aut NATIONALLICENCE 700 1- Vinuela F. Department of Radiological Sciences, UCLA School of Medicine, Center of the Health Sciences, 10 833 Le Conte Avenue, Los Angeles, CA 90095-1721, USA, US aut NATIONALLICENCE 700 1- Westra S. J. Department of Radiological Sciences, UCLA School of Medicine, Center of the Health Sciences, 10 833 Le Conte Avenue, Los Angeles, CA 90095-1721, USA, US aut NATIONALLICENCE 700 1- Duckwiler G. R. Department of Radiological Sciences, UCLA School of Medicine, Center of the Health Sciences, 10 833 Le Conte Avenue, Los Angeles, CA 90095-1721, USA, US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer