| Hepatic infarction following abdominal interventional procedures. | |
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MedLine Citation:
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PMID: 15255511 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To clarify the incidence, background, and progress of hepatic infarction following interventional procedures, cases of hepatic infarction following interventional procedures at our department during the last decade were identified by reviewing the clinical records of 1982 abdominal angiography and interventional procedures and records of abdominal CT. Nine episodes (0.5%) in 8 patients were identified as hepatic infarction following an interventional procedure. Five episodes were preceded by embolization of the hepatic or celiac artery at emergency angiography for postoperative bleeding with hemorrhagic shock. Three episodes followed the elected interventional procedure for hepatocellular carcinoma, and the remaining episode occurred after 12 months of chemoinfusion through an indwelling catheter in the hepatic artery and portal vein. Hepatic arterial occlusion in all episodes and portal venous flow abnormality in 5 episodes were observed on angiography. Four patients whose liver function was initially impaired died of hepatic infarction, although the extent of the disease on CT did not appear to be related to the mortality. Multiple risk factors, including arterial insufficiency, were observed in each patient. The incidence of hepatic infarction following interventional procedures in this series was low but sometimes fatal, and occurred most frequently in emergency embolization in hemorrhagic shock. |
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Authors:
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Hiroyasu Fujiwara; Susumu Kanazawa; Takao Hiraki; Hidefumi Mimura; Kotaro Yasui; Shiro Akaki; Takahito Yagi; Yoshio Naomoto; Noriaki Tanaka; Yoshio Hiraki |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta medica Okayama Volume: 58 ISSN: 0386-300X ISO Abbreviation: Acta Med. Okayama Publication Date: 2004 Apr |
Date Detail:
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Created Date: 2004-07-16 Completed Date: 2004-11-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0417611 Medline TA: Acta Med Okayama Country: Japan |
Other Details:
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Languages: eng Pagination: 97-106 Citation Subset: IM |
Affiliation:
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Department of Radiology, Okayama University Graduate School of Medicine and Dentistry, Okayama 700 8558, Japan. fuji@cc.okayama-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdomen
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blood supply Adult Aged Angiography Chemoembolization, Therapeutic / adverse effects* Cohort Studies Disease Progression Female Humans Incidence Infarction / epidemiology, etiology*, pathology Liver / pathology* Liver Diseases / epidemiology, etiology*, pathology Male Middle Aged Retrospective Studies Risk Factors Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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