脑碘油栓塞：肝细胞癌经导管动脉化疗栓塞的一种并发症。
Cerebral lipiodol embolism: a complication of transcatheter arterial chemoembolization for hepatocellular carcinoma.
作者信息
Matsumoto Koichi, Nojiri Junichi, Takase Yukinori, Egashira Yoshikazu, Azama Shinichi, Kato Akira, Kitahara Kenji, Miyazaki Koji, Kudo Sho
机构信息
Department of Radiology, Saga Medical School, 5-1-1 Nabeshima, Saga, 849-8501, Japan.
出版信息
Cardiovasc Intervent Radiol. 2007 May-Jun;30(3):512-4. doi: 10.1007/s00270-006-0092-x.
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.
我们报告一例肝细胞癌经导管肝动脉化疗栓塞术（TACE）后发生脑碘油栓塞的病例。一名70岁的女性患有无法切除的巨大肝细胞癌，接受了TACE治疗。术后她的意识水平恶化，磁共振成像和非增强计算机断层扫描显示脑碘油栓塞。尽管进行了重症监护，患者仍在2周后死亡。该并发症可能是由于既往手术引起的体肺分流和/或复发性肿瘤的直接侵犯所致。
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