HYDROPHILIC POLYMER EMBOLI
By Gary M. White, MD
- Hydrophilic polymer gel coatings are used during endovascular procedures to limit vascular spasm and to increase maneuverability.
- Embolization to distal sites can occlude vessels resulting in purpura and livedo Racemosa .
The onset of cutaneous symptoms may be seen immediately and is usually apparent within 24 hours. Some cases have reported onset up to 9 days after the procedure [JAAD 2015;73;666].
Most patients do not suffer significant morbidity, but rarely organ failure and death may occur from systemic embolization. Monitoring of systemic organ function and supportive care is in order.
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