Gastrointest Interv 2018; 7(2): 91-93  https://doi.org/10.18528/gii170003
Lipiodol brain embolism through right inferior phrenic artery-pulmonary vein shunt after transcatheter arterial chemoembolization
Eun Ho Jang, Eung Tae Kim, Woo Sun Choi, Dong Il Gwon*
Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea. E-mail address: radgwon@amc.seoul.kr (D.I. Gwon). ORCID: https://orcid.org/0000-0002-3121-2853
Received: January 20, 2017; Revised: March 6, 2017; Accepted: March 11, 2017; Published online: July 31, 2018.
© Society of Gastrointestinal Intervention. All rights reserved.

cc This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Lipiodol brain embolism is a rare complication associated with transcatheter arterial cheomoembolization (TACE). The present case describes a patient with lipiodol brain embolism who presented with several symptoms, including drowsy mental state, right facial palsy, and weakness in the right upper and lower limbs. The patient’s non-enhanced computed tomography scan and magnetic resonance imaging (MRI) findings revealed multifocal lipiodol deposition and an acute infarction of the brain. A retrospective review of the angiography findings revealed a right inferior phrenic artery-pulmonary vein shunt, which was not observed during the previous TACE. Three days after TACE, the patient’s symptoms improved; however, the extent of the brain hyperintensity had widened further on the following MRI. The patient gradually recovered and was finally discharged.
Keywords: Cerebral; Complication; Lipiodol embolism; Right inferior phrenic arteriopulmonary vein shunt; Transcatheter arterial chemoembolization


This Article


Cited By Articles
  • CrossRef (0)

Services
Social Network Service

e-submission

Archives