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Additional info for 2008 Kaplan USMLE Step 1 Home Study Program-Brand New Volume I: General Principles Book 1
The mechanism remains unknown and may include pulmonary vasospasm, pulmonary embolism, and direct cardiotoxicity. Patients must be monitored closely, and some practitioners advocate the use of continuous pulmonary artery pressure monitoring during ethanol procedures. Most complications are self-limiting or may be successfully treated with skin grafting; in the case of skin necrosis, however, neurologic complications can be permanent. Ethanol blood levels correlate directly with the amount of ethanol injected, regardless of the type of malformation [102, 108].
Fibered coil emboli are preshaped into a variety of different configuraR. I. , MD Yale University School of Medicine, Department of Diagnostic Radiology, 333 Cedar Street, Room 5039 LMP, New Haven, CT 06520, USA Jeffrey S. Pollak, MD Yale University School of Medicine, Department of Diagnostic Radiology, PO Box 20842, New Haven, CT 06504-8042, USA tions, such as a helix, and then stretched out in a cartridge for delivery into a catheter (Fig. 1a,b). Since the introduction of pushable fibered coils, detachable balloons, both silicone and latex, were developed for large vessel occlusion and more recently the Grifka large vessel occlusion device and the Amplatzer vascular Plug [3–7].
Cardiovasc Intervent Radiol 13:309–313 105. Drolet BA, Scott LA, Esterly NB, et al. (2001) Early surgical intervention in a patient with Kasabach Merritt phenomenon. J Pediatr 138:756–758 106. Hanafi M, Orliaguet G, Meyer P, et al. (2001) Embolie pulmonaire au cours de la sclerotherapie percutanee d’un angiome veineux sous anesthesie generale chez un enfant. Ann Fr Anesth Reanim 20:556–558 J. Golzarian et al. 107. Yakes WF, Engelwood CO, Baker R (1993) Cardiopulmonary collapse: sequelae of ethanol embolotherapy.