This Article Résumé de cet Article Full Text Full Text (PDF) Submit a scholarly reply Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Quader, K. Articles by Lai, J. K.T. Search for Related Content PubMed PubMed Citation Articles by Quader, K. Articles by Lai, J. K.T.

Pulmonary edema in the neuroradiology suite: a diagnostic dilemma

From the Department of Anaesthesia, Toronto Western Hospital, University Health Network, The University of Toronto, 399 Bathurst Street, Toronto, Ontario, M5T 2S8 Canada.

Address correspondence to: Dr. Pirjo H. Manninen, Phone: 416-603-5118; Fax: 416-603-6494; E-mail: Pirjo.Manninen{at}uhn.on.ca

Purpose: To present the case of an initially unexplained complication of sudden pulmonary edema in a patient during stenting of the carotid artery in the interventional neurology suite.

Clinical Features: A 46-yr-old woman (ASA III) having an intracavernous carotid artery angioplasty and stenting procedure under neurolept anesthesia developed sudden pulmonary edema on completion of an otherwise uneventful stenting procedure. The patient responded well to initial management of pulmonary edema although the cause of the edema remained unclear. On retrospective examination of data and with the evolution of clinical signs it became apparent that the patient had suffered a subarachnoid hemorrhage which eventually resulted in her death.

Conclusions: Clinical signs of intracerebral events may be slow to evolve. The cause of sudden pulmonary edema in patients undergoing an interventional neuroendovascular procedure is likely to be neurogenic in origin despite the initial lack of neurological signs.

This article has been cited by other articles:

				M J Chapman, J A Myburgh, M T Kluger, and W B Runciman Crisis management during anaesthesia: pulmonary oedema Qual. Saf. Health Care, June 1, 2005; 14(3): e8 - e8. [Abstract] [Full Text] [PDF]