Document Detail

Cerebral lipiodol embolism after transarterial chemoembolization for hepatic carcinoma: a case report.
MedLine Citation:
PMID:  22912560     Owner:  NLM     Status:  MEDLINE    
We report a case of cerebral lipiodol embolism (CLE) after transarterial chemoembolization (TACE) for unresectable hepatic carcinoma (HCC). A 54-year-old man with unresectable HCC underwent TACE via the right hepatic artery and right inferior phrenic artery using a mixture of 40 mg pirarubicin and 30 mL lipiodol. His level of consciousness deteriorated after TACE, and non-contrast computed tomography revealed a CLE. The cerebral conditions improved after supportive therapy. The complication might have been due to hepatic arterio-pulmonary vein shunt caused by direct invasion of the tumor. Even though CLE is an uncommon complication of TACE, we should be aware of these rare complications in patients with high risk factors.
Zhong-Zhi Jia; Feng Tian; Guo-Min Jiang
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  18     ISSN:  2219-2840     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-08-22     Completed Date:  2013-03-04     Revised Date:  2014-05-20    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  4069-70     Citation Subset:  IM    
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MeSH Terms
Antineoplastic Agents / administration & dosage,  adverse effects*
Carcinoma, Hepatocellular / therapy*
Chemoembolization, Therapeutic / adverse effects*
Ethiodized Oil / administration & dosage,  adverse effects*
Intracranial Embolism / chemically induced*
Liver Neoplasms / therapy*
Middle Aged
Reg. No./Substance:
0/Antineoplastic Agents; 8008-53-5/Ethiodized Oil

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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