Department of Radiology, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima-shi, Kagoshima, Japan.
Cardiovasc Intervent Radiol. 2011 Feb;34 Suppl 2:S154-6. doi: 10.1007/s00270-010-0026-5. Epub 2010 Nov 12.
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.
我们报告了一例 76 岁男性 HCC 合并动静脉分流（AVS）患者。由于患者肺功能差，选择了经导管化疗栓塞（TACE）治疗。为了防止栓塞材料通过 AVS 流动引起肺栓塞，我们使用球囊导管进行流量控制下的绝对乙醇栓塞 AVS。随后，我们可以安全地进行 HCC 的 TACE 治疗。
