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World J Gastroenterol. Jan 21, 2010; 16(3): 398-402
Published online Jan 21, 2010. doi: 10.3748/wjg.v16.i3.398
Published online Jan 21, 2010. doi: 10.3748/wjg.v16.i3.398
Cerebral lipiodol embolism following transcatheter arterial chemoembolization for hepatocellular carcinoma
Lu Wu, Ye-Fa Yang, Jun Liang, Shu-Qun Shen, Nai-Jian Ge, Meng-Chao Wu, The First Department of Interventional Radiology, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438, China
Author contributions: Wu L, Yang YF, Liang J, Shen SQ and Ge NJ collected the data and performed the research; Wu L wrote the manuscript; Yang YF and Wu MC revised the article.
Correspondence to: Dr. Ye-Fa Yang, The First Department of Interventional Radiology, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438, China. electchina@hotmail.com
Telephone: +86-21-81875323 Fax: +86-21-65562400
Received: September 13, 2009
Revised: November 2, 2009
Accepted: November 9, 2009
Published online: January 21, 2010
Revised: November 2, 2009
Accepted: November 9, 2009
Published online: January 21, 2010
Abstract
Cerebral lipiodol embolism (CLE) is an extremely rare complication of transcatheter arterial chemoembolization for hepatocellular carcinoma (HCC). The authors present a case of CLE that occurred after the second hepatic arterial chemoembolization for HCC, and attempt to introduce several plausible mechanisms of CLE, after reporting the clinical and radiological findings and reviewing the medical literature.