Cerebral lipiodol embolism related to a vascular lake during chemoembolization in hepatocellular carcinoma: A case report and review of the literature

Figure 2 Infused 140 mg of miriplatin suspended in 7 mL of lipiodol via the left hepatic artery. A: Left hepatic angiography shows a large hypervascular tumor in the left hepatic lobe and intrahepatic metastases neighborhood without an intratumoral AV shunt; B: Repeated left hepatic angiography shows a vascular lake in the superior portion of the tumor (arrow) that developed after chemoembolization; C: Venous phase shows drainage into the pericardiacophrenic vein (arrow heads), which was unrecognized until remasking and pixel shifting were performed. AV: Arteriovenous.