Fragments of hydrophilic polymer coating as an embolic material – rare complication and potential cause of death = Fragmenty hydrofilowych powłok polimerowych jako materiał zatorowy – rzadkie powikłanie i potencjalna przyczyna zgonu
cytuj
pobierz pliki
RIS BIB ENDNOTEWybierz format
RIS BIB ENDNOTEFragments of hydrophilic polymer coating as an embolic material – rare complication and potential cause of death = Fragmenty hydrofilowych powłok polimerowych jako materiał zatorowy – rzadkie powikłanie i potencjalna przyczyna zgonu
Data publikacji: 11.12.2023
Archiwum Medycyny Sądowej i Kryminologii, 2023, Vol. 73 (2), s. 168 - 175
https://doi.org/10.4467/16891716AMSIK.23.014.18689Autorzy
Fragments of hydrophilic polymer coating as an embolic material – rare complication and potential cause of death
The most common complications of percutaneous coronary interventions and other endovascular procedures include minor hemorrhage, hematoma, or infection at the insertion site [1]. Much more serious ones include damage to the vessel wall, dissection, shock from contrast administration, acute kidney injury, myocardial infarction [2] and ischemic stroke [3]. Ischemic complications can be caused by an embolic incident due to a thrombus formation or detachment of atherosclerotic plaque fragments [3]. A rarely diagnosed complication is ischemia caused by microembolisms from the material covering the equipment inserted into the vessel – hydrophilic polymer coating (HPC)[4]. We present an interesting case of HPC revealed in coronary vessels within myocardial preparations taken in forensic post-mortem examination conducted at the Department of Forensic Medicine in Bydgoszcz (L.dz. 676/19). This article raises the issue of clinical implications and forensic aspects.
Balami JS, White PM, McMeekin PJ, Ford GA, Buchan AM. Complications of endovascular treatment for acute ischemic stroke: Prevention and management. Int J Stroke. 2018 Jun;13(4):348-361. doi: 10.1177/1747493017743051. Epub 2017 Nov 24. PMID: 29171362.
Coronary Complications of Percutaneous Coronary Interventions – M. Lakhani, A. Rajamanickam, A. Kini Practical Manual of Interventional Cardiology – A. Kini, S. Sharma, J. Narula
Hamon M, Baron JC, Viader F, Hamon M. Periprocedural stroke and cardiac catheterization. Circulation. 2008 Aug 5;118(6):678-83. doi: 10.1161/CIRCULATIONAHA.108.784504.PMID: 18678784.
Mehta RI, Mehta RI, Solis OE, Jahan R, Salamon N, Tobis JM, Yong WH, Vinters HV, Fishbein MC. Hydrophilic polymer emboli: an under-recognized iatrogenic cause of ischemia and infarct. Mod Pathol. 2010 Jul;23(7):921-30. doi: 10.1038/modpathol.2010.74. Epub 2010 Mar 19. PMID: 20305613.
Sabzevari N, Schapiro BL, Stewart B. Necrotic leg ulcers secondary to hydrophilic polymer gel emboli. J Vasc Surg Cases Innov Tech. 2019 Jun 29;5(3):310-313. doi: 10.1016/j.jvscit.2019.03.004. PMID: 31334407; PMCID: PMC6614598.
Mehta RI, Mehta RI. Hydrophilic Polymer Embolism: Implications for Manufacturing, Regulation, and Postmarket Surveillance of Coated Intravascular Medical Devices. J Patient Saf. 2021 Dec 1;17(8):e1069-e1079. doi: 10.1097/PTS.0000000000000473. PMID: 29557931; PMCID: PMC6146079.
Grundeken MJ, Li X, Kurpershoek CE, Kramer MC, Vink A, Piek JJ, Tijssen JG, Koch KT, Wykrzykowska JJ, de Winter RJ, van der Wal AC. Distal embolization of hydrophilic-coating material from coronary guidewires after percutaneous coronary interventions. Circ Cardiovasc Interv. 2015 Feb;8(2):e001816. doi: 10.1161/CIRCINTERVENTIONS.114.001816. PMID: 25582439.
Guzzardi G, Galbiati A, Stanca C, Del Sette B, Paladini A, Cossandi C, Carriero A. Flow diverter stents with hydrophilic polymer coating for the treatment of acutely ruptured aneurysms using single antiplatelet therapy: Preliminary experience. Interv Neuroradiol. 2020 Oct;26(5):525-531. doi: 10.1177/1591019920950878. Epub 2020 Aug 16. PMID: 32799747; PMCID: PMC7645186.
Polívková M, Hubáček T, Staszek M, Švorčík V, Siegel J. Antimicrobial Treatment of Polymeric Medical Devices by Polívková M, Hubáček T, Staszek M, Švorčík V, Siegel J. Antimicrobial Treatment of Polymeric Medical Devices by Silver Nanomaterials and Related Technology. Int J Mol Sci. 2017 Feb 15;18(2):419. doi: 10.3390/ijms18020419. PMID: 28212308; PMCID: PMC53
Chopra AM, Mehta M, Bismuth J, Shapiro M, Fishbein MC, Bridges AG, Vinters HV. Polymer coating embolism from intravascular medical devices - a clinical literature review. Cardiovasc Pathol. 2017 Sep-Oct;30:45-54. doi: 10.1016/j.carpath.2017.06.004. Epub 2017 Jun 22. PMID: 28759819.
Rapkiewicz A, Hood B, Hutchins K. Fatal Case of Hydrophilic Polymer Emboli. J Forensic Sci. 2016 Jan;61 Suppl 1:S268-70. doi: 10.1111/1556-4029.12934. Epub 2015 Sep 8. PMID: 26347151.
Barnwell SL, D’Agostino AN, Shapiro SL, Nesbit GM, Kellogg JX. Foreign bodies in small arteries after use of an infusion microcatheter. AJNR Am J Neuroradiol. 1997 Nov-Dec;18(10):1886-9. PMID: 9403448; PMCID: PMC8337381.
Chen CL, Chen NC, Wang JS. Acute hydrophilic-polymer nephropathy and acute renal failure. N Engl J Med. 2015 Apr 30;372(18):1775-6. doi: 10.1056/NEJMc1414822. PMID: 25923573.
Chavez JA, Chen W, Frankel WL, Arnold CA. Hydrophilic Polymer-associated Ischemic Enterocolitis. Am J Surg Pathol. 2017 Feb;41(2):271-276. doi: 10.1097/PAS.0000000000000765. PMID: 27819873.
Yang GK, Mordhorst A, Maguire J, Janusz M, Gagnon J. Hydrophilic polymer embolization after thoracic endovascular aortic repair. J Vasc Surg Cases Innov Tech. 2019 Oct 5;5(4):423-426. doi: 10.1016/j.jvscit.2019.05.002. PMID: 31660464; PMCID: PMC6806646.
Mehta RI, Mehta RI. Hydrophilic Polymer Embolism: An Update for Physicians. Am J Med. 2017 Jul;130(7):e287-e290. doi: 10.1016/j.amjmed.2017.01.032. Epub 2017 Feb 16. PMID: 28216443; PMCID: PMC5546007.
Allan RW, Alnuaimat H, Edwards WD, Tazelaar HD. Embolization of hydrophilic catheter coating to the lungs: report of a case mimicking granulomatous vasculitis. Am J Clin Pathol. 2009 Nov;132(5):794-7. doi: 10.1309/AJCPH2PGCCPA0ZJF. PMID: 19846823.
Informacje: Archiwum Medycyny Sądowej i Kryminologii, 2023, Vol. 73 (2), s. 168 - 175
Typ artykułu: Oryginalny artykuł naukowy
Tytuły:
Fragments of hydrophilic polymer coating as an embolic material – rare complication and potential cause of death
Fragments of hydrophilic polymer coating as an embolic material – rare complication and potential cause of death = Fragmenty hydrofilowych powłok polimerowych jako materiał zatorowy – rzadkie powikłanie i potencjalna przyczyna zgonu
Studenckie Koło Naukowe przy Zakładzie Medycyny Sądowej Uniwersytet Medyczny w Białymstoku
Katedra Medycyny Sądowej, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu
Polska
Katedra i Zakład Patomorfologii Klinicznej UMK w Toruniu, Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy
Publikacja: 11.12.2023
Otrzymano: 17.07.2023
Zaakceptowano: 05.10.2023
Status artykułu: Otwarte
Licencja: CC-BY-NC-SA
Udział procentowy autorów:
Korekty artykułu:
-Języki publikacji:
Angielski, PolskiSugerowane cytowania: Nature