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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

© 2014 International Anesthesia Research Society