Document Detail


Cerebral lipiodol embolism: a complication of transcatheter arterial chemoembolization for hepatocellular carcinoma.
MedLine Citation:
PMID:  17171304     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Koichi Matsumoto; Junichi Nojiri; Yukinori Takase; Yoshikazu Egashira; Shinichi Azama; Akira Kato; Kenji Kitahara; Koji Miyazaki; Sho Kudo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  30     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2007 May-Jun
Date Detail:
Created Date:  2007-04-13     Completed Date:  2007-10-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  512-4     Citation Subset:  IM    
Affiliation:
Department of Radiology, Saga Medical School, 5-1-1 Nabeshima, Saga, 849-8501, Japan. matsumk2@cc.saga-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Brain / drug effects,  pathology
Carcinoma, Hepatocellular / therapy*
Chemoembolization, Therapeutic / adverse effects*
Contrast Media / administration & dosage,  adverse effects*
Diagnostic Imaging
Epirubicin / administration & dosage
Fatal Outcome
Female
Humans
Intracranial Embolism / chemically induced*,  diagnosis
Iodized Oil / adverse effects*,  diagnostic use
Liver Neoplasms / therapy*
Neoplasm Recurrence, Local / therapy*
Chemical
Reg. No./Substance:
0/Contrast Media; 56420-45-2/Epirubicin; 8001-40-9/Iodized Oil

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


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