Bronchospasm Induced by Ethanol Injection for a Craniofacial Venous Malformation

Tachibana, Kaori MD, PhD*; Sasaki, Satoru MD, PhD; Nakamura, Takashi MD*; Dozaki, Shinichi MD, PhD*

doi: 10.1213/XAA.0000000000000032
Case Reports: Case Report

Ethanol sclerotherapy is a first-line treatment for low-flow vascular malformations. Although many complications of ethanol sclerotherapy have been described in the literature, bronchospasm is uncommon. We present a case of a patient in whom bronchospasm was precipitated by injection of ethanol during percutaneous sclerotherapy for craniofacial venous malformations that occurred during general anesthesia. The evidence for ethanol-induced bronchospasm is discussed.

From the *Department of Anesthesiology, and Center for Vascular Anomalies, KKR Sapporo Medical Center Tonan Hospital, Sapporo, Japan.

Accepted for publication January 15, 2014.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Kaori Tachibana, MD, PhD, Department of Anesthesiology, KKR Sapporo Medical Center Tonan Hospital, Kita-1, Nishi-6, Chuo-Ku, Sapporo, Japan. Address e-mail to shibak@med.hokudai.ac.jp.

© 2014 International Anesthesia Research Society