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Survival after accidental extrahepatic distribution of Y90 microspheres to the mesentery during a radioembolization procedure.

Abstract：

:We present the acute management and outcome of a patient after an accidental mesenteric distribution of Y90 microspheres during radioembolization (RE). This report describes and highlights: (1) the incidence of a significant reflux during a RE session while injecting into a replaced right hepatic artery from the superior mesenteric artery, (2) the appearance of diffuse mesenteric Y90 distribution in bremsstrahlung-imaging, (3) the management protocol with the radiation protection agent amifostine, (4) the development of typical adverse effects in the expected time window, and (5) survival of the patient without long-term sequelae. This report should sensitize physicians to this particular problem and may help to avoid as well as manage similar radioembolization incidences.

journal_name

Cardiovasc Intervent Radiol

journal_title

Cardiovascular and interventional radiology

authors

Sabet A,Ahmadzadehfar H,Schäfer N,Wilhelm K,Schüller H,Ezziddin S

doi

10.1007/s00270-011-0286-8

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

954-7

issue

4

eissn

0174-1551

issn

1432-086X

journal_volume

35

pub_type

杂志文章

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