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Case Report
INTERVENTIONAL

Bronchospasm Precipitated by Ethanol Injection in Arteriovenous Malformation

Tiscia B. Stefanuttoa and Van Halbacha

a From the Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California

Address correspondence to Dr. Van Halbach, Department of Anesthesia and Perioperative Care, University of California, San Francisco, 513 Parnassus Avenue, San Francisco, CA 94143-0648

Summary: We present an interesting case of profound bronchospasm that we postulate was caused by injection of ethanol during embolization of a left transverse sinus dural fistula. There is excellent documentation in the literature of the development of transient pulmonary hypertension and decreased right-side cardiac output following embolization with this agent; however, there have been only anecdotal reports of a temporal relationship between ethanol embolization and bronchospasm. We present this case that occurred on the third ethanol embolization treatment series.




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