Cerebral Lipiodol Embolism: A Complication of Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma

Journal Article · Fri Jun 15 00:00:00 EDT 2007 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-006-0092-X· OSTI ID:21090960

Matsumoto, Koichi; Nojiri, Junichi; Takase, Yukinori; Egashira, Yoshikazu; Azama, Shinichi; Kato, Akira ^[1]; Kitahara, Kenji; Miyazaki, Koji ^[2]; Kudo, Sho ^[1]

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1. Saga Medical School, Department of Radiology (Japan)
2. Saga Medical School, Department of Surgery (Japan)

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.

• OSTI ID: 21090960
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 30, Issue 3; Other Information: DOI: 10.1007/s00270-006-0092-x; Copyright (c) 2007 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BYPASSES
COMPUTERIZED TOMOGRAPHY
HEPATOMAS
LIPIODOL
NMR IMAGING
SURGERY