2002•臺灣消化醫學雜誌Requires access
Pulmonary Embolism after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma: Report of a Case
Wei-Hsu Ko, Kuo‐Ching Yang, Ta-Nien Lu, Kou‐Gi Shyu, Yeh-You Shen
Open publisher page 0 citations
Abstract
Pulmonary embolism is an important cause of morbidity and mortality. Some patients develop pulmonary embolism after transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma, because the Lipiodol oil embolizes to the pulmonary arterial circulation. We reported one patient with hepatocellular carcinoma complicated by cardio-pulmonary distress secondary to TA CE. The clinical history, laboratory data and image study all supported the diagnosis of pulmonary embolism. Definite diagnosis was confirmed by scintigraphy and pulmonary angiography. This patient fully recovered from the respiratory event after installation of heparin and other supportive care. The clinician must be aware of this potentially fatal complication of TACE. Prompt diagnosis is necessary for optimal management.