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Case Reports in Critical Care
Volume 2014, Article ID 452452, 3 pages
http://dx.doi.org/10.1155/2014/452452
Case Report

Pulmonary Arterial Hypertension Secondary to Ethanol Sclerotherapy for Renal Artery Embolization

Saint Joseph Hospital, Department of Internal Medicine, 2900 N Lakeshore Drive, Chicago, IL 60657, USA

Received 14 April 2014; Accepted 4 June 2014; Published 15 June 2014

Academic Editor: Chiara Lazzeri

Copyright © 2014 Raya Saba et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pulmonary arterial hypertension (PAH) has been reported as a major complication to consider and promptly manage in the use of ethanol sclerotherapy. Most of the available data on the development of PAH is derived from the use of ethanol for embolization of arteriovenous malformation, but it has been rarely reported in its other fields of application. We describe a case of outpatient renal artery embolization using ethanol, in which respiratory failure develops secondary to PAH despite adhering to safe practice protocols. We highlight the importance of pulmonary arterial pressure monitoring and the treatment steps to follow in order to avoid irreversible fatal outcomes.