Embolization of hydrophilic catheter coating to the lungs: report of a case mimicking granulomatous vasculitis.
Hydrophilic coatings are used on intravascular devices to facilitate ease of manipulation and to minimize complications such as thrombosis during a procedure and vasospasm after a procedure. We report a case of embolization of hydrophilic coating of a central venous catheter to the lung that resulted in cavitary lung nodules in a 34-year-old woman. The microscopic features of this unusual complication warrant emphasis so that pathologists will not overlook the embolic foreign material and make a faulty diagnosis of noniatrogenic granulomatous vasculitis.
Department of Pathology, Immunology, and Laboratory Medicine, University of Florida College of Medicine, Gainesville, FL 32610-0275, USA.
Robert W
RW
Allan
Hassan
H
Alnuaimat
William D
WD
Edwards
Henry D
HD
Tazelaar
D000328:Adult; D002404:Catheterization / Q000009:adverse effects*; D002405:Catheterization, Central Venous / Q000009:adverse effects; D003424:Crohn Disease / Q000150:complications; D003937:Diagnosis, Differential; D004617:Embolism / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D005260:Female; D005547:Foreign Bodies / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D005548:Foreign-Body Migration / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D006099:Granuloma / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008171:Lung Diseases / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D011108:Polymers / Q000009:adverse effects*; D012559:Schizophrenia / Q000150:complications; D013479:Superior Vena Cava Syndrome / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D014657:Vasculitis / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology
D011108:Polymers