Intracoronary fiducial embolization after percutaneous placement for stereotactic radiosurgery

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Abstract

Although well established for the treatment of intracranial and prostatic pathology, stereotactic radiosurgery has only recently emerged as a modality for the treatment of malignant lung lesions. Utilization of radio-opaque markers, called fiducials, facilitate dose-intensive radiation focused on the tumor with sparing of surrounding normal tissue. There is a paucity of literature regarding complications that occur secondary to placement of these fiducials. The following report details a case in which intracoronary migration resulted in a hemodynamically significant acute coronary syndrome. © 2012 The Society of Thoracic Surgeons.

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Farkas, E. A., Stoeckel, D. A., Nassif, A. S., Lim, M. J., & Naunheim, K. S. (2012). Intracoronary fiducial embolization after percutaneous placement for stereotactic radiosurgery. Annals of Thoracic Surgery, 93(5), 1715–1717. https://doi.org/10.1016/j.athoracsur.2011.08.057

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