Multiple Systemic Infarctions as a Complication of Bronchial Artery Embolization With Polyvinyl Alcohol: A Case Report

Bronchial artery embolization (BAE) is a widely used modality of treatment for massive hemoptysis which has well known complications such as chest pain, groin hematoma and transverse myelitis but systemic embolization of the material used in the procedure is very rare and was reported only four times in the literature which were all caused by the use of microspheres. Herein we report a case of a 41-year-old caucasian male who had a history of tuberculosis 10 years ago. He had BAE with polyvinyl alcohol (PVA) for the treatment of recurrent hemoptysis. After the procedure, the patient complained of severe pain on the left upper quadrant and bilateral costovertebral regions and in abdominal CT, multiple infarcts in the subcapsular area of the spleen and kidneys were observed. This is the first reported case of inadvertent systemic embolization secondary to BAE with PVA. Although the risk of systemic embolization is greater with microspheres, still potentially serious and life threatening complications may occur with PVA

Riociguat treatment in patients with chronic thromboembolic pulmonary hypertension: Final safety data from the EXPERT registry

Objective: The soluble guanylate cyclase stimulator riociguat is approved for the treatment of adult patients with pulmonary arterial hypertension (PAH) and inoperable or persistent/recurrent chronic thromboembolic pulmonary hypertension (CTEPH) following Phase

Symptoms, Clinical Findings and Paraneoplastic Syndromes in Lung Cancer

Signs and symptoms of lung tumours depend on tumour location and size, extent of the tumour or its stage and presence or absence of metastasis. Common symptoms are Cough (especially persistent cough), Hemoptysis, Dyspnea, Wheezing, Chest pain, and, Hoarseness. Less commonly, symptoms may arise due to introthoracic tissue and organ involvement, superior vena cava syndrome, Horner's syndrome or distance metastasis. Systemic effects like weight loss, anorexia, weakness may be seen and symptoms of paraneoplastic syndrome observed

Factors affecting the recurrence in patients with venous thromboembolism: A retrospective cohort study

Background: The aim of the study was to evaluate the frequency of recurrence and the risk factors for recurrence in patients who were diagnosed with venous thromboembolism

Sleep apnea in adult myotonic dystrophy patients who have no excessive daytime sleepiness

Sleep apnea is common in myotonic dystrophy (MD) and may cause respiratory failure. Most of the sleep studies have been performed in patients with excessive daytime sleepiness (EDS), which is a characteristic and strong predictor of sleep apnea. Therefore, we investigated the prevalence of sleep apnea in adult MD patients who have no EDS