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Cardiovasc Intervent Radiol · May 2007
Case ReportsCerebral lipiodol embolism: a complication of transcatheter arterial chemoembolization for hepatocellular carcinoma.
- Koichi Matsumoto, Junichi Nojiri, Yukinori Takase, Yoshikazu Egashira, Shinichi Azama, Akira Kato, Kenji Kitahara, Koji Miyazaki, and Sho Kudo.
- Department of Radiology, Saga Medical School, 5-1-1 Nabeshima, Saga, 849-8501, Japan. matsumk2@cc.saga-u.ac.jp
- Cardiovasc Intervent Radiol. 2007 May 1;30(3):512-4.
AbstractWe 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.
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