Embolization of hepatic arteriovenous shunt with absolute ethanol in a patient with hepatocellular carcinoma.
We report a 76-year-old man who had hepatocellular carcinoma (HCC) with arteriovenous shunting (AVS). Transcatheter chemoembolization (TACE) was selected as treatment because of poor pulmonary function. To prevent pulmonary embolism caused by the flow of embolic materials through the AVS, we performed embolization of the AVS with absolute ethanol under flow control by balloon catheters. Subsequently, we could perform TACE for HCC safely.
Department of Radiology, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima-shi, Kagoshima, Japan. t-seno@m.kufm.kagoshima-u.ac.jp
Terutoshi
T
Senokuchi
Yasutaka
Y
Baba
Sadao
S
Hayashi
Masayuki
M
Nakajo
D000368:Aged; D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D006528:Carcinoma, Hepatocellular / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D002404:Catheterization; D016461:Chemoembolization, Therapeutic / Q000379:methods*; D000431:Ethanol / Q000008:administration & dosage*; D017809:Fatal Outcome; D006801:Humans; D008113:Liver Neoplasms / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D008297:Male; D009336:Necrosis; D010166:Palliative Care
D000431:Ethanol