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Abstract • Among 84 surgically resected arteriovenous malformations (AVMs), four were found to have retractile foreign particles lined by endothelium in the vessel walls. In three cases, this was associated with granuloma formation. The particles were probably introduced during cerebral angiography. They represent a not unusual pathologic finding, are relatively more common in AVMs than in other neurosurgically excised lesions, and may have clinical significance, especially if abundant. References 1. Dimmick JE, Bove KE, McAdams AJ, et al: Fiber embolization: A hazard of cardiac surgery and catheterization . N Engl J Med 1975;292:685-687.Crossref 2. Ghatak NR: Pathology of cerebral embolization caused by nonthrombotic agents . Hum Pathol 1975;6:599-610.Crossref 3. Larmi TKI, Kärkölä á, Kairaluoma MI, et al: Calcium microemboli and microfilters in valve operations . Ann Thorac Surg 1977;24:3437.Crossref 4. Andersen OF, Fogelberg MG, Rosencrantz NM, et al: Postlymphographic cerebral lipid embolization in the vena cava superior syndrome . Cancer 1977;39:79-84.Crossref 5. McKibbin DW, Bulkley BH, Green WR, et al: Fatal cerebral atheromatous embolization after cardiopulmonary bypass . J Thorac Cardiovasc Surg 1976;71:741-745. 6. Rush JA, Kearns TP, Danielson GK: Clothparticle retinal emboli from artificial cardiac valves . Am J Ophthalmol 1980;89:845-850. 7. Moskowitz G, Chen P, Adams DF: Lipid embolization to the kidney and brain after lymphangiography . Radiology 1972;102:327-328.Crossref 8. Oldenburg FA Jr, Newhouse MT: Cerebral dye embolus: A complication of selective bronchography following transbronchial biopsy . Chest 1978;73:872-873.Crossref 9. Groth DH, Mackay GR, Crable JV, et al: Intravenous injection of talc in a narcotics addict . Arch Pathol Lab Med 1972;94:171-178. 10. AtLee WE Jr: Talc and cornstarch emboli in eyes of drug abusers . JAMA 1972;219:49-51.Crossref 11. Mizutani T, Lewis RA, Gonatas NK: Medial medullary syndrome in a drug abuser . Arch Neurol 1980;37:425-428.Crossref 12. Silberman J, Cravioto H, Feigin I: Foreign body emboli following cerebral angiography . Arch Neurol 1960;3:711-717.Crossref 13. Chason JL, Landers JW, Swanson RE: Cotton fiber embolism: A frequent complication of cerebral angiography . Neurology 1963;13:558-560.Crossref 14. Adams DF, Olin TB, Kosek J: Cotton fiber embolization during angiography: A clinical and experimental study . Radiology 1965;84:678-681.Crossref 15. Bavikatte K, Hilliard J, Schreiner RL, et al: Systemic vascular cotton fiber emboli in the neonate . J Pediatr 1979;95:614-616.Crossref 16. Kay JM, Wilkins RA: Cotton fibre embolism during angiography . Clin Radiol 1969;20:410-413.Crossref 17. Brekkan A, Lexow PE, Woxholt G: Glass fragments and other particles contaminating contrast media . Ada Radiol Diagn 1975;16:600-608. 18. Tubbs RR, Picha GC, Levin HS, et al: Cotton emboli (cellulose II polymorph, 'rayon') of the coronary arteries . Hum Pathol 1980;11:7680. 19. McCormick WF: Vascular disorders of nervous tissue: Anomalies, malformations, and aneurysms , in Bourne GH (ed): The Structure and Function of Nervous Tissue . New York, Academic Press Ine, 1969, vol 3, pp 537-596. 20. McCormick WF: The pathology of vascular ('arteriovenous') malformations . J Neurosurg 1966;24:807-816.Crossref 21. McCormick WF, Hardman JM, Boulter TR: Vascular malformations ('angiomas') of the brain, with special reference to those occurring in the posterior fossa . J Neurosurg 1968;28:241-251.Crossref 22. Takashima S, Becker LE: Neuropathology of cerebral arteriovenous malformations in children . J Neurol Neurosurg Psychiatry 1980;43:380-385.Crossref 23. Garvan JM, Gunner BW: The harmful effects of particles in intravenous fluids . Med J Aust 1964;2:1-6. 24. Häggendal E, Ingvar DH, Lassen NA, et al: Pre- and postoperative measurements of regional cerebral blood flow in three cases of intracranial arteriovenous aneurysms . J Neurosurg 1965;22: 1-6.Crossref 25. Vinters HV, Debrun G, Kaufmann JCE, et al: Pathology of arteriovenous malformations embolized with isobutyl-2-cyanoacrylate (bucrylate): Report of two cases . J Neurosurg 1981;55:819-825.Crossref 26. Roessmann U, Zarchin LE: Cerebral bone marrow embolus after closed chest cardiac massage . Arch Neurol 1979;36:58.Crossref 27. Prian GW, Wright GB, Rumack CM, et al: Apparent cerebral embolization after temporal artery catheterization . J Pediatr 1978;93:115-118.Crossref 28. Vagn-Hansen PL: Complications following external cardiac massage, with special emphasis on cerebral embolism . Ada Pathol Microbiol Scand A 1971;79:505-512. 29. Williams IM: Intravascular changes in the retina during open-heart surgery . Lancet 1971;2:688-691.Crossref
Archives of Neurology – American Medical Association
Published: Apr 1, 1983
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