Melikian Raymond, Minocha Jeet
Division of Vascular and Interventional Radiology, Department of Radiology, University of California San Diego, San Diego, California.
Semin Intervent Radiol. 2019 Jun;36(2):137-141. doi: 10.1055/s-0039-1688430. Epub 2019 May 22.
Percutaneous thermal ablation of hepatic tumors continues to play an integral role in the treatment of early-stage primary or secondary hepatic malignancies. Interventional radiologists must be familiar with potential complications of this procedure, associated risk factors, and methods for prevention. The authors report a devastating case of septic shock and death following percutaneous microwave ablation of a solitary hepatocellular carcinoma in a liver transplant patient with a bilioenteric anastomosis (BEA). We review the literature regarding prophylactic antibiotic regimens and bowel preparation prior to performing thermal ablation in patients with BEAs.
经皮热消融肝肿瘤在早期原发性或继发性肝恶性肿瘤的治疗中仍发挥着不可或缺的作用。介入放射科医生必须熟悉该手术的潜在并发症、相关危险因素及预防方法。作者报告了一例肝移植患者行胆肠吻合术（BEA）后，经皮微波消融孤立性肝细胞癌导致感染性休克和死亡的灾难性病例。我们回顾了有关BEA患者进行热消融术前预防性抗生素方案和肠道准备的文献。
