Cerebral Lipiodol Embolism: A Complication of Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma |
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| Authors: | Koichi Matsumoto Junichi Nojiri Yukinori Takase Yoshikazu Egashira Shinichi Azama Akira Kato Kenji Kitahara Koji Miyazaki Sho Kudo |
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| Affiliation: | (1) Department of Radiology, Saga Medical School, 5-1-1 Nabeshima, Saga 849-8501, Japan;(2) Department of Surgery, Saga Medical School, 5-1-1 Nabeshima, Saga 849-8501, Japan |
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| Abstract: | 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. |
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| Keywords: | Complication Hepatocellular carcinoma Intracranial embolism Iodized oil |
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