Pulmonary and cerebral lipiodol embolism after transcatheter arterial chemoembolization [corrected] in hepatocellular carcinoma

World J Gastroenterol. 2009 Feb 7;15(5):633-5. doi: 10.3748/wjg.15.633.

Abstract

Pulmonary and cerebral lipiodol embolism after transcatheter arterial chemoembolization (TACE) of hepatocellular carcinoma is rare. To our knowledge, only 7 cases have been reported in the literature. We present a case of pulmonary and cerebral lipiodol embolism, and analyzed retrospectively the imaging and clinical data of the patient and conclude the most probable mechanism of pulmonary and cerebral lipiodol embolism, which is different from that of the cases reported previously.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Carcinoma, Hepatocellular / drug therapy*
  • Chemoembolization, Therapeutic / adverse effects*
  • Contrast Media / adverse effects*
  • Dehydration / drug therapy
  • Dehydration / etiology
  • Humans
  • Intracranial Embolism / diagnostic imaging
  • Intracranial Embolism / etiology*
  • Iodized Oil / adverse effects*
  • Liver Neoplasms / drug therapy*
  • Male
  • Pulmonary Embolism / diagnostic imaging
  • Pulmonary Embolism / etiology*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • alpha-Fetoproteins / analysis

Substances

  • Contrast Media
  • alpha-Fetoproteins
  • Iodized Oil