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. 2024 Nov 20:11:1439839.
doi: 10.3389/fcvm.2024.1439839. eCollection 2024.

Salvage of cardiopulmonary collapse caused by ethanol sclerotherapy for vascular malformations: clinical experience at a single center and literature review

Lixin Su #  1   2 , Yan Zhao #  3 , Yuchen Shen  2 , Xindong Fan  2 , Zhenfeng Wang  2 , Deming Wang  2 , Qingyang Li  3
Affiliations

Salvage of cardiopulmonary collapse caused by ethanol sclerotherapy for vascular malformations: clinical experience at a single center and literature review

Lixin Su et al. Front Cardiovasc Med. .

Abstract

Objective: This review aims to summarize the salvage experience of cardiopulmonary collapse occurring as a result of absolute ethanol sclerotherapy for vascular malformations.

Methods: In total, we reviewed three cases of cardiopulmonary collapse induced by ethanol sclerotherapy for vascular malformations and described the details of the salvage procedure. Saturation of pulse oxygen (SpO2), end-tidal CO2, and invasive arterial pressure were the routine monitors for ethanol injection patients. Cardiopulmonary resuscitation, epinephrine, norepinephrine, and deoxyepinephrine were mainly used to correct circulation parameters. Manually ventilated via endotracheal intubation with 100% O2, increased respiratory rate were mainly used to correct Respiratory parameters.

Results: All three cases were successfully salvaged without major complications. When cardiopulmonary collapse occurred, manual ventilation via endotracheal intubation with 100% O2, increased ventilation frequency and external cardiac compression were the emergency treatments. Epinephrine, norepinephrine, deoxyepinephrine infusion solely or combined were crucial to maintaining the basic vital signs.

Conclusion: Despite the severity of cardiopulmonary collapse caused by ethanol sclerotherapy, it can be detected by close observation and reversed with timely treatment.

Keywords: cardiopulmonary collapse; emergency; ethanol; sclerotherapy; vascular malformations.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer XL declared a shared affiliation with the author(s) to the handling editor at the time of review.

Figures

Figure 1
Figure 1
Steps in salvage of cardiopulmonary collapse induced by ethanol sclerotherapy for vascular malformations.
See this image and copyright information in PMC

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