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©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Feb 7, 2009; 15(5): 633-635
Published online Feb 7, 2009. doi: 10.3748/wjg.15.633
Published online Feb 7, 2009. doi: 10.3748/wjg.15.633
Pulmonary and cerebral lipiodol embolism after transcatheter arterial hemoembolization in hepatocellular carcinoma
Jian-Jun Wu, Ming Chao, Guang-Qiang Zhang, Bin Li, Fei Dong, Department of Radiology, Second Affiliated Hospital, Zhejiang University School of Medicine, 88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China
Author contributions: Wu JJ, Chao M, Zhang GQ, Li B and Dong F collected data and performed the research; Wu JJ wrote the manuscript; Chao M revised the article.
Correspondence to: Dr. Ming Chao, Department of Radiology, Second Affiliated Hospital, Zhejiang University School of Medicine, 88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China. chongxiang81@126.com
Telephone: +86-571-87783862
Fax: +86-571-87214631
Received: September 14, 2008
Revised: December 11, 2008
Accepted: December 18, 2008
Published online: February 7, 2009
Revised: December 11, 2008
Accepted: December 18, 2008
Published online: February 7, 2009
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.
Keywords: Pulmonary embolism, Cerebral embolism, Lipiodol, Transcatheter arterial chemoembolization, Hepatocellular carcinoma, Complication