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http://dx.doi.org/10.4046/trd.2011.71.1.50

Pulmonary Lipiodol Embolism after Transcatheter Chemoembolization for Hepatocellular Carcinoma  

Park, Woo-Ri (Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk University College of Medicine)
Kim, Jung-Tae (Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk University College of Medicine)
Han, Hye-Suk (Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk University College of Medicine)
Kim, Sung-Jin (Department of Radiology, Chungbuk National University Hospital, Chungbuk University College of Medicine)
Choe, Kang-Hyeon (Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk University College of Medicine)
Lee, Ki-Man (Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk University College of Medicine)
An, Jin-Young (Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk University College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.71, no.1, 2011 , pp. 50-54 More about this Journal
Abstract
Pulmonary lipiodol embolism is a rare but very fatal complication of transcatheter arterial chemoembolization (TACE), Here we present the case of an unusual complication of TACE in a 67-year-old man who presented with dyspnea, hemoptysis, and a history of a third session of TACE for hepatocellular carcinoma (HCC) that had been performed 3 days prior to presenting. On the basis of chest X-ray and computed tomography (CT) scan findings, we diagnosed pulmonary lipiodol embolism. He was conservatively treated with oxygen and haemostatic agents. The patient recovered quickly without any significant sequela and was discharged.
Keywords
Carcinoma; Hepatocellular; transcatheter arterial chemoembolization; Pulmonary Embolism; lipiodol;
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1 Chung JW, Park JH, Im JG, Han JK, Han MC. Pulmonary oil embolism after transcatheter oily chemoembolization of hepatocellular carcinoma. Radiology 1993;187:689-93.   DOI
2 Tajima T, Honda H, Kuroiwa T, Yabuuchi H, Okafuji T, Yosimitsu K, et al. Pulmonary complications after hepatic artery chemoembolization or infusion via the inferior phrenic artery for primary liver cancer. J Vasc Interv Radiol 2002;13:893-900.   DOI   ScienceOn
3 Shiah HS, Liu TW, Chen LT, Chang JY, Liu JM, Chuang TR, et al. Pulmonary embolism after transcatheter arterial chemoembolization. Eur J Cancer Care (Engl) 2005;14:440-2.   DOI   ScienceOn
4 Samejima M, Tamura S, Kodama T, Yuuki Y, Takasaki J, Sekiva R, et al. Pulmonary complication following intra-arterial infusion of lipiodol-adriamycin emulsion for hepatocellular carcinoma, report of a case. Nippon Igaku Hoshasen Gakkai Zasshi 1990;50:24-8.
5 Kita T, Tsuji H, Takazakura E. Abnormalities in pulmonary perfusion scans after transcatheter arterial embolization of the liver. Nihon Kyobu Shikkan Gakkai Zasshi 1996;34:413-21.
6 Morris TA, Fedullo PF. Disorders of the pulmonary circulation. In: Mason RJ, Broaddus C, Murray JF, Nadel JA, editors. Murray and Nael's textbook of respiratory medicine. 4th ed. Philadelphia: Elsevier Saunders; 2005. p. 1425-52.
7 Ministry of Health and Welfare. Ministry of Health and Welfare [homepage]. Seoul: Ministry of Health and Welfare; c2011 [cited 2011 July 2]. Available from: http://www.mw.go.kr.
8 Sakamoto I, Aso N, Nagaoki K, Matsuoka Y, Uetani M, Ashizawa K, et al. Complications associated with transcatheter arterial embolization for hepatic tumors. Radiographics 1998;18:605-19.   DOI
9 Xia J, Ren Z, Ye S, Sharma D, Lin Z, Gan Y, et al. Study of severe and rare complications of transarterial chemoembolization (TACE) for liver cancer. Eur J Radiol 2006;59:407-12.   DOI   ScienceOn