Key result
Ethanol infusion into the vein of Marshall provoked a fatal complication of nonocclusive mesenteric ischemia following transient hypotension due to a hemopericardium in a hemodialysis patient.
Case Report (n=1)
No
Ethanol infusion into the vein of Marshall can provoke lethal complications such as vessel laceration and pericardial effusion, especially in fragile patients like those on chronic hemodialysis.
This case signals caution for ethanol vein-of-Marshall infusion in hemodialysis patients; leaves open the procedure's safety profile in larger cohorts.
An EIM (ethanol infusion into the vein of Marshall [VOM]) provoked a fatal complication in a chronic hemodialysis patient. Autopsy revealed a lacerated VOM covered with thrombi as the only potential cause. The EIM caused vascular damage and clots resulting in myocardial necrosis and interstitial bleeding around the lacerated VOM.
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Kato et al. (2017) conducted a case report in Persistent atrial fibrillation (n=1). Ethanol infusion into the vein of Marshall (EIM) was evaluated on Fatal complication (nonocclusive mesenteric ischemia following hemopericardium). Ethanol infusion into the vein of Marshall provoked a fatal complication of nonocclusive mesenteric ischemia following transient hypotension due to a hemopericardium in a hemodialysis patient.
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