Cerebral iodized lipid embolization via a pulmonary arteriovenous shunt: rare complication of transcatheter arterial embolization for hepatocellular carcinoma
We report the first European case of cerebral iodized lipid embolism post transcatheter arterial embolization for hepatocellular carcinoma. Lipiodol emboli and corresponding multifocal brain ischemia were documented with computed tomography (CT) and magnetic resonance (MR) in the acutely symptomatic...
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| Veröffentlicht in: | World journal of surgical oncology 2013-05, Vol.11 (1), p.122-122, Article 122 |
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| creator | Bánsághi, Zoltán Kaposi, Pál Novák Lovas, Gábor Szentmártoni, Gyöngyvér Várallyay, György Bata, Pál Kalina, Ildikó Futácsi, Balázs Bérczi, Viktor |
| description | We report the first European case of cerebral iodized lipid embolism post transcatheter arterial embolization for hepatocellular carcinoma. Lipiodol emboli and corresponding multifocal brain ischemia were documented with computed tomography (CT) and magnetic resonance (MR) in the acutely symptomatic patient. Transcranial Doppler sonography with contrast indicated a right-to-left shunt, while on a follow-up CT scan lipiodol embolization was detected in both lungs. Dilated pulmonary vessels and thick vascular channels were seen in the vicinity of the right diaphragm suggestive of pulmonary arteriovenous shunt. The patient symptoms regressed with supportive care alone, but he died 5 months later due to hepatic failure unrelated to the procedure. |
| doi_str_mv | 10.1186/1477-7819-11-122 |
| format | Article |
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Lipiodol emboli and corresponding multifocal brain ischemia were documented with computed tomography (CT) and magnetic resonance (MR) in the acutely symptomatic patient. Transcranial Doppler sonography with contrast indicated a right-to-left shunt, while on a follow-up CT scan lipiodol embolization was detected in both lungs. Dilated pulmonary vessels and thick vascular channels were seen in the vicinity of the right diaphragm suggestive of pulmonary arteriovenous shunt. The patient symptoms regressed with supportive care alone, but he died 5 months later due to hepatic failure unrelated to the procedure.</description><identifier>ISSN: 1477-7819</identifier><identifier>EISSN: 1477-7819</identifier><identifier>DOI: 10.1186/1477-7819-11-122</identifier><identifier>PMID: 23721061</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Antineoplastic Agents - administration & dosage ; Arteriovenous Shunt, Surgical ; Carcinoma, Hepatocellular - complications ; Carcinoma, Hepatocellular - therapy ; Care and treatment ; Case Report ; Case studies ; Catheterization ; Complications and side effects ; Diagnosis ; Embolization, Therapeutic - adverse effects ; Ethiodized Oil - administration & dosage ; Fat embolism ; Fatal Outcome ; Hepatoma ; Humans ; Intracranial Embolism - etiology ; Intracranial Embolism - therapy ; Liver Neoplasms - complications ; Liver Neoplasms - therapy ; Male ; Middle Aged ; Patient outcomes ; Pulmonary Artery - abnormalities ; Pulmonary Veins - abnormalities ; Risk factors</subject><ispartof>World journal of surgical oncology, 2013-05, Vol.11 (1), p.122-122, Article 122</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Bánsághi et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright ©2013 Bánsághi et al.; licensee BioMed Central Ltd. 2013 Bánsághi et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b615t-512aa320ece90f66042cfccce8f367fa305633ebc711abfae9e43edc826b8cdc3</citedby><cites>FETCH-LOGICAL-b615t-512aa320ece90f66042cfccce8f367fa305633ebc711abfae9e43edc826b8cdc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681566/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681566/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23721061$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bánsághi, Zoltán</creatorcontrib><creatorcontrib>Kaposi, Pál Novák</creatorcontrib><creatorcontrib>Lovas, Gábor</creatorcontrib><creatorcontrib>Szentmártoni, Gyöngyvér</creatorcontrib><creatorcontrib>Várallyay, György</creatorcontrib><creatorcontrib>Bata, Pál</creatorcontrib><creatorcontrib>Kalina, Ildikó</creatorcontrib><creatorcontrib>Futácsi, Balázs</creatorcontrib><creatorcontrib>Bérczi, Viktor</creatorcontrib><title>Cerebral iodized lipid embolization via a pulmonary arteriovenous shunt: rare complication of transcatheter arterial embolization for hepatocellular carcinoma</title><title>World journal of surgical oncology</title><addtitle>World J Surg Oncol</addtitle><description>We report the first European case of cerebral iodized lipid embolism post transcatheter arterial embolization for hepatocellular carcinoma. Lipiodol emboli and corresponding multifocal brain ischemia were documented with computed tomography (CT) and magnetic resonance (MR) in the acutely symptomatic patient. Transcranial Doppler sonography with contrast indicated a right-to-left shunt, while on a follow-up CT scan lipiodol embolization was detected in both lungs. Dilated pulmonary vessels and thick vascular channels were seen in the vicinity of the right diaphragm suggestive of pulmonary arteriovenous shunt. The patient symptoms regressed with supportive care alone, but he died 5 months later due to hepatic failure unrelated to the procedure.</description><subject>Antineoplastic Agents - administration & dosage</subject><subject>Arteriovenous Shunt, Surgical</subject><subject>Carcinoma, Hepatocellular - complications</subject><subject>Carcinoma, Hepatocellular - therapy</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Case studies</subject><subject>Catheterization</subject><subject>Complications and side effects</subject><subject>Diagnosis</subject><subject>Embolization, Therapeutic - adverse effects</subject><subject>Ethiodized Oil - administration & dosage</subject><subject>Fat embolism</subject><subject>Fatal Outcome</subject><subject>Hepatoma</subject><subject>Humans</subject><subject>Intracranial Embolism - etiology</subject><subject>Intracranial Embolism - therapy</subject><subject>Liver Neoplasms - complications</subject><subject>Liver Neoplasms - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient outcomes</subject><subject>Pulmonary Artery - abnormalities</subject><subject>Pulmonary Veins - abnormalities</subject><subject>Risk factors</subject><issn>1477-7819</issn><issn>1477-7819</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFUk2L1TAULaI44-jelQQEcdMxH22auhCGh18w4EbXIU1vphnSpCbtA-fH-FtNec_nezIiWTTJPef03nNSFM8JviRE8DekapqyEaQtCSkJpQ-K88PVw6P9WfEkpVuMKWM1e1ycUdZQgjk5L35uIEIXlUM29PYOeuTsZHsEYxecvVOzDR5trUIKTYsbg1fxB1JxhmjDFnxYEkrD4ue3KKoISIdxclbvaMGgOSqf8nGAzNjz8r9O1E2IaIBJzUGDc4tTEWkVtfVhVE-LR0a5BM_234vi24f3XzefyusvHz9vrq7LjpN6LmtClWIUg4YWG85xRbXRWoMwjDdGMVxzxqDTDSGqMwpaqBj0WlDeCd1rdlG82-lOSzfmAvjcuZNTtGMeWAZl5WnF20HehK1kXJCa8yyw2Ql0NvxD4LSSnZJrPnLNRxIic3xZ5fW-jRi-L5BmOdq0uqI8ZKszoeVCUNG0_4fmwYWoeFtn6Mu_oLdhiT77uaJajKsGV39QN8qBtN6E3KdeReVVzSrOBabrnJf3oPLqYbQ6eDA2358QXh0RBlBuHlJwyxp9OgXiHVDHkFIEczCPYLm-9vvsenGc2oHw-3mzXxk5_rY</recordid><startdate>20130530</startdate><enddate>20130530</enddate><creator>Bánsághi, Zoltán</creator><creator>Kaposi, Pál Novák</creator><creator>Lovas, Gábor</creator><creator>Szentmártoni, Gyöngyvér</creator><creator>Várallyay, György</creator><creator>Bata, Pál</creator><creator>Kalina, Ildikó</creator><creator>Futácsi, Balázs</creator><creator>Bérczi, Viktor</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7TK</scope><scope>5PM</scope></search><sort><creationdate>20130530</creationdate><title>Cerebral iodized lipid embolization via a pulmonary arteriovenous shunt: rare complication of transcatheter arterial embolization for hepatocellular carcinoma</title><author>Bánsághi, Zoltán ; Kaposi, Pál Novák ; Lovas, Gábor ; Szentmártoni, Gyöngyvér ; Várallyay, György ; Bata, Pál ; Kalina, Ildikó ; Futácsi, Balázs ; Bérczi, Viktor</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b615t-512aa320ece90f66042cfccce8f367fa305633ebc711abfae9e43edc826b8cdc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Antineoplastic Agents - administration & dosage</topic><topic>Arteriovenous Shunt, Surgical</topic><topic>Carcinoma, Hepatocellular - complications</topic><topic>Carcinoma, Hepatocellular - therapy</topic><topic>Care and treatment</topic><topic>Case Report</topic><topic>Case studies</topic><topic>Catheterization</topic><topic>Complications and side effects</topic><topic>Diagnosis</topic><topic>Embolization, Therapeutic - adverse effects</topic><topic>Ethiodized Oil - administration & dosage</topic><topic>Fat embolism</topic><topic>Fatal Outcome</topic><topic>Hepatoma</topic><topic>Humans</topic><topic>Intracranial Embolism - etiology</topic><topic>Intracranial Embolism - therapy</topic><topic>Liver Neoplasms - complications</topic><topic>Liver Neoplasms - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient outcomes</topic><topic>Pulmonary Artery - abnormalities</topic><topic>Pulmonary Veins - abnormalities</topic><topic>Risk factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bánsághi, Zoltán</creatorcontrib><creatorcontrib>Kaposi, Pál Novák</creatorcontrib><creatorcontrib>Lovas, Gábor</creatorcontrib><creatorcontrib>Szentmártoni, Gyöngyvér</creatorcontrib><creatorcontrib>Várallyay, György</creatorcontrib><creatorcontrib>Bata, Pál</creatorcontrib><creatorcontrib>Kalina, Ildikó</creatorcontrib><creatorcontrib>Futácsi, Balázs</creatorcontrib><creatorcontrib>Bérczi, Viktor</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bánsághi, Zoltán</au><au>Kaposi, Pál Novák</au><au>Lovas, Gábor</au><au>Szentmártoni, Gyöngyvér</au><au>Várallyay, György</au><au>Bata, Pál</au><au>Kalina, Ildikó</au><au>Futácsi, Balázs</au><au>Bérczi, Viktor</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral iodized lipid embolization via a pulmonary arteriovenous shunt: rare complication of transcatheter arterial embolization for hepatocellular carcinoma</atitle><jtitle>World journal of surgical oncology</jtitle><addtitle>World J Surg Oncol</addtitle><date>2013-05-30</date><risdate>2013</risdate><volume>11</volume><issue>1</issue><spage>122</spage><epage>122</epage><pages>122-122</pages><artnum>122</artnum><issn>1477-7819</issn><eissn>1477-7819</eissn><abstract>We report the first European case of cerebral iodized lipid embolism post transcatheter arterial embolization for hepatocellular carcinoma. Lipiodol emboli and corresponding multifocal brain ischemia were documented with computed tomography (CT) and magnetic resonance (MR) in the acutely symptomatic patient. Transcranial Doppler sonography with contrast indicated a right-to-left shunt, while on a follow-up CT scan lipiodol embolization was detected in both lungs. Dilated pulmonary vessels and thick vascular channels were seen in the vicinity of the right diaphragm suggestive of pulmonary arteriovenous shunt. The patient symptoms regressed with supportive care alone, but he died 5 months later due to hepatic failure unrelated to the procedure.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23721061</pmid><doi>10.1186/1477-7819-11-122</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | World journal of surgical oncology, 2013-05, Vol.11 (1), p.122-122, Article 122 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access; Springer Nature OA Free Journals |
| subjects | Antineoplastic Agents - administration & dosage Arteriovenous Shunt, Surgical Carcinoma, Hepatocellular - complications Carcinoma, Hepatocellular - therapy Care and treatment Case Report Case studies Catheterization Complications and side effects Diagnosis Embolization, Therapeutic - adverse effects Ethiodized Oil - administration & dosage Fat embolism Fatal Outcome Hepatoma Humans Intracranial Embolism - etiology Intracranial Embolism - therapy Liver Neoplasms - complications Liver Neoplasms - therapy Male Middle Aged Patient outcomes Pulmonary Artery - abnormalities Pulmonary Veins - abnormalities Risk factors |
| title | Cerebral iodized lipid embolization via a pulmonary arteriovenous shunt: rare complication of transcatheter arterial embolization for hepatocellular carcinoma |
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