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2009•Contemporary MedicineRequires access

The Serious Complication During Transcatheter Arterial Chemoembolization of hepatocellular carcinoma——Cerebral Lipiodol Embolism(CLE)

Jing Zhang

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Abstract

Objective To study the rare complication-cerebral lipiodol embolism(CLE)during or after transcatheter arterial chemoembolization(TACE),and to analyze the factors involved in this procedure.Methods A clinical case of CLE during TACE and the literature were reviewed to analyze the risk factors of CLE.Results The risk factors of CLE during or after TACE included right to left shunts involved in heart,liver and lung,dilated anastomotic branches especially the carcinomas fed by inferior phrenic artery(IPA),the amount of lipiodol.Conclusion CLE is a rare and severe complication that may occur during or after TACE,the main risk factor is the presence of arteriovenous shunt(AVS).

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What this paper is about

Objective To study the rare complication-cerebral lipiodol embolism(CLE)during or after transcatheter arterial chemoembolization(TACE),and to analyze the factors involved in this procedure.Methods A clinical case of CLE during TACE and the literature were reviewed to analyze the risk factors of CLE.Results The risk factors of CLE during or after TACE included right to left shunts involved in heart,liver and lung,dilated anastomotic branches especially the carcinomas fed by inferior phrenic artery(IPA),the amount of lipiodol.Conclusion CLE is a rare and severe complication that may occur during or after TACE,the main risk factor is the presence of arteriovenous shunt(AVS).

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Available abstract

Objective To study the rare complication-cerebral lipiodol embolism(CLE)during or after transcatheter arterial chemoembolization(TACE),and to analyze the factors involved in this procedure.Methods A clinical case of CLE during TACE and the literature were reviewed to analyze the risk factors of CLE.Results The risk factors of CLE during or after TACE included right to left shunts involved in heart,liver and lung,dilated anastomotic branches especially the carcinomas fed by inferior phrenic artery(IPA),the amount of lipiodol.Conclusion CLE is a rare and severe complication that may occur during or after TACE,the main risk factor is the presence of arteriovenous shunt(AVS).

Key concepts: Lipiodol, Medicine, Transcatheter arterial chemoembolization, Complication, Hepatocellular carcinoma, Embolization, Shunt (medical), Radiology

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The Serious Complication During Transcatheter Arterial Chemoembolization of hepatocellular carcinoma——Cerebral Lipiodol Embolism(CLE) — Research Paper | ScholarLens