Cerebral lipiodol embolism: A complication of transcatheter arterial chemoembolization for hepatocellular carcinoma

被引：27
|
作者：
Matsumoto, Koichi
Nojiri, Junichi
Takase, Yukinori
Egashira, Yoshikazu
Azama, Shinichi
Kato, Akira
Kitahara, Kenji
Miyazaki, Koji
Kudo, Sho
机构：
[1] Saga Med Sch, Dept Radiol, Saga 8498501, Japan
[2] Saga Med Sch, Dept Surg, Saga 8498501, Japan
来源：
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2007年 / 30卷 / 03期
关键词：
complication; hepatocellular carcinoma; intracranial embolism; iodized oil;
D O I：
10.1007/s00270-006-0092-x
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report a case of cerebral lipiodol embolism following transcatheter chemoembolization (TACE) for hepatocellular carcinoma. A 70-year-old woman with a large unresectable hepatocellular carcinoma underwent TACE. Her level of consciousness deteriorated after the procedure, and magnetic resonance imaging and non-contrast computed tomography revealed a cerebral lipiodol embolism. Despite intensive care, the patient died 2 weeks later. The complication might have been due to systemic-pulmonary shunts caused by previous surgeries and/or direct invasion of the recurrent tumor.
引用
收藏
页码：512 / 514
页数：3
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