Abstract:
:We present a case of pulmonary embolism that occurred during the injection of lipiodol during transcatheter arterial chemoembolization under general anaesthesia. A 7-year-old child suffering from a large hepatoblastoma was admitted for arterial chemoembolization and carcinostatic administration. Pulmonary embolism due to lipiodol during arterial chemoembolization was evident by a sudden fall in oxyhaemoglobin saturation from 100 to 90%. This was associated with a spread of lipiodol into both lungs, particularly the middle lung zones and detected by chest fluoroscopy. Arterial blood gases returned to normal values 1 day later but pulmonary infiltration persisted for 7 days before final clearance. Pulmonary embolism caused by lipiodol during arterial chemoembolization is infrequent, but such a complication could prove fatal. Understanding the risk of pulmonary embolism in patients receiving lipiodol, during and after arterial chemoembolization, and late onset pulmonary injury is important and a close follow-up for several days after arterial chemoembolization is advisable.
journal_name
Eur J Anaesthesioljournal_title
European journal of anaesthesiologyauthors
Yamaura K,Higashi M,Akiyoshi K,Itonaga Y,Inoue H,Takahashi Sdoi
10.1046/j.1365-2346.2000.00759.xsubject
Has Abstractpub_date
2000-11-01 00:00:00pages
704-8issue
11eissn
0265-0215issn
1365-2346pii
eja759journal_volume
17pub_type
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