Hydrophilic Polymer Embolism: An Underappreciated Complication of Endovascular Procedures that Physicians Should be Aware Of.

IF 2.9 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Marco Parillo, Robert P Wawer Matos Reimer, Carlo A Mallio, Peter Reimer, Aart J van der Molen
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引用次数: 0

Abstract

Hydrophilic polymer embolization (HPE) represents a complication of endovascular interventions, occurring when the hydrophilic coating detaches, eventually causing distal ischemia and/or inflammation. We conducted a scoping review using PubMed, providing a summary of the main clinical implications potentially related to HPE. The analysis primarily found case reports/series (n = 48/56), suggesting that this event is perceived as sporadic. However, the potentially subtle presentation of HPE and a limited understanding of this condition among medical professionals are likely to contribute to its underrepresentation in medical literature. To better understand HPE risks, a detailed device analysis considering material and coating variations is crucial. Collaboration among manufacturers, clinicians, and regulators is needed to improve safety, diagnostics, and patient outcomes, bridging knowledge gaps and addressing this complex issue effectively.

亲水聚合物栓塞:一种被低估的血管内手术并发症,医生应该注意。
亲水聚合物栓塞(HPE)是血管内介入的一种并发症,发生在亲水涂层脱落时,最终导致远端缺血和/或炎症。我们使用PubMed进行了范围审查,提供了与HPE潜在相关的主要临床意义的摘要。分析主要发现病例报告/系列(n = 48/56),表明该事件被认为是零星的。然而,HPE潜在的微妙表现和医学专业人员对这种情况的有限理解可能导致其在医学文献中的代表性不足。为了更好地了解HPE风险,考虑材料和涂层变化的详细设备分析至关重要。需要制造商、临床医生和监管机构之间的合作来提高安全性、诊断和患者预后,弥合知识差距并有效解决这一复杂问题。
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来源期刊
CiteScore
5.50
自引率
13.80%
发文量
306
审稿时长
3-8 weeks
期刊介绍: CardioVascular and Interventional Radiology (CVIR) is the official journal of the Cardiovascular and Interventional Radiological Society of Europe, and is also the official organ of a number of additional distinguished national and international interventional radiological societies. CVIR publishes double blinded peer-reviewed original research work including clinical and laboratory investigations, technical notes, case reports, works in progress, and letters to the editor, as well as review articles, pictorial essays, editorials, and special invited submissions in the field of vascular and interventional radiology. Beside the communication of the latest research results in this field, it is also the aim of CVIR to support continuous medical education. Articles that are accepted for publication are done so with the understanding that they, or their substantive contents, have not been and will not be submitted to any other publication.
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