Symptomatic pulmonary lipiodol embolism after transarterial chemoembolization for hepatic malignant tumor： clinical presentation and chest imaging findings
Symptomatic pulmonary lipiodol embolism after transarterial chemoembolization for hepatic malignant tumor： clinical presentation and chest imaging findings作者机构：Department of Interventional Therapy Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education)Peking University Cancer Hospital & Institute Beijing 100142China
出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)
年 卷 期：2014年第127卷第4期
页 面：675-679页
核心收录：
学科分类：090603[农学-临床兽医学] 071011[理学-生物物理学] 0710[理学-生物学] 07[理学] 09[农学] 0906[农学-兽医学]
基 金：This study was supported by grants from National Natural Science Foundation of China China International Medical Foundation
主 题：lipiodol pulmonary embolism hepatic tumor complications transarterial chemoembolization
摘 要：Background Pulmonary lipiodol embolism after transarterial chemoembolization （TACE） was rare and life-threatening,occasionally reported in previous *** aimed to review the records of 11 patients with pulmonary oily embolism and analyze their characteristics of radiographic findings and risk *** Records of 478 consecutive patients who underwent 1 026 percutaneous TACE procedures were retrospectively *** cases with respiratory symptoms were identified as having symptomatic pulmonary lipiodol embolism after *** of these patients,including clinical presentation,techniques of TACE,imaging features of tumor and chest imaging findings,were *** Eleven （2.3%） of 478 consecutive patients who underwent percutaneous TACE procedures had a pulmonary oily embolism after *** mean size of target tumors embolized was （13.6＆#177;2.0） *** were *** mean volume of lipiodol was （21.8＆#177;8.2） *** oily embolisms were revealed within 12-48 hours after *** most severe respiratory symptoms and imaging abnormalities of the eight patients who survived presented between 2 and 5 days after TACE,becoming normal between 12 and 35 days after *** patients *** CT revealed retention of radiopaque lipiodol in *** Pulmonary lipiodol embolism occurs easily in patients who have large hyper-vascular hepatic malignant *** high-density lipiodol deposition in the lung field can be used as diagnostic feature.
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