Cerebral lipiodol embolism: a complication of transcatheter arterial chemoembolization for hepatocellular carcinoma.
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.
Matsumoto
Koichi
K
Department of Radiology, Saga Medical School, 5-1-1 Nabeshima, Saga, 849-8501, Japan. matsumk2@cc.saga-u.ac.jp
Nojiri
Junichi
J
Takase
Yukinori
Y
Egashira
Yoshikazu
Y
Azama
Shinichi
S
Kato
Akira
A
Kitahara
Kenji
K
Miyazaki
Koji
K
Kudo
Sho
S
D000368:Aged; D001921:Brain / Q000187:drug effects / Q000473:pathology; D006528:Carcinoma, Hepatocellular / Q000628:therapy*; D016461:Chemoembolization, Therapeutic / Q000009:adverse effects*; D003287:Contrast Media / Q000008:administration & dosage / Q000009:adverse effects*; D003952:Diagnostic Imaging; D015251:Epirubicin / Q000008:administration & dosage; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000139:chemically induced* / Q000175:diagnosis; D007459:Iodized Oil / Q000009:adverse effects*; D008113:Liver Neoplasms / Q000628:therapy*; D009364:Neoplasm Recurrence, Local / Q000628:therapy*
D003287:Contrast Media; D015251:Epirubicin; D007459:Iodized Oil