An accidental death due to Freon 22 (monochlorodifluoromethane) inhalation in a fishing vessel |
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Authors: | Koreeda Ako Yonemitsu Kosei Mimasaka Sohtarou Ohtsu Yuki Tsunenari Shigeyuki |
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Institution: | Department of Forensic Medicine, Semmelweis University, Budapest 1091, Hungary. torok@igaz.sote.hu |
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Abstract: | We have firstly presented a case using post mortem corrosive method in forensic medical practice after coronary stent implantation. Occlusions, fate of side branches could be detected during the clinical diagnostic angiography, intravascular ultrasound, computed tomography; however, the forensic medical determination of cause of death, identification of complications needs a careful post-mortem investigation. The injection-corrosive method seems to be a useful assistance in the characterisation of pathomorphological changes after stent implantation. Besides the classical techniques of histology, immunohistochemistry, electron microscopic investigation we have introduced a new synthetic resin corrosion cast method. This three-dimensional corrosion cast preparation may provide new data about the actual morphological condition of the coronary vessels and a better understanding of the pathomechanisms of sudden cardiac death after percutaneous coronary intervention. |
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