Necrosis of Hepatocellular Carcinoma Caused by Iatrogenic Hepatic Artery Dissection during Transcatheter Arterial Chemoembolization

Transcatheter arterial chemoembolization (TACE) improves the survival rate in patients with hepatocellular carcinoma (HCC). Despite the low probability, iatrogenic hepatic arterial dissections during interventional procedure are rarely created by the technical difficulties. Direct trauma from the g...

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Main Authors: Gu-Seong Jeong, Jung-Wook Seo, Suk-Hyun Bae, Wonseon Shin
Format: Article
Language:English
Published: The Korean Society of Radiology 2019-05-01
Series:대한영상의학회지
Subjects:
Online Access:https://doi.org/10.3348/jksr.2019.80.3.562
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author Gu-Seong Jeong
Jung-Wook Seo
Suk-Hyun Bae
Wonseon Shin
author_facet Gu-Seong Jeong
Jung-Wook Seo
Suk-Hyun Bae
Wonseon Shin
author_sort Gu-Seong Jeong
collection DOAJ
description Transcatheter arterial chemoembolization (TACE) improves the survival rate in patients with hepatocellular carcinoma (HCC). Despite the low probability, iatrogenic hepatic arterial dissections during interventional procedure are rarely created by the technical difficulties. Direct trauma from the guidewire, the tip of the catheter, or the jet of contrast injection can contribute to iatrogenic hepatic arterial dissections. We report one case of a female who had HCC necrosis caused by iatrogenic hepatic arterial dissection during TACE. Ischemia resulting from iatrogenic hepatic arterial dissection during TACE was smilar to the result of transarterial embolization for HCC on our case. To our knowledge, none of the similar cases was reported in previously published literatures.
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spelling doaj.art-27955aec75234c77afc69222ab1969062022-12-21T19:11:14ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282019-05-01803562567https://doi.org/10.3348/jksr.2019.80.3.562Necrosis of Hepatocellular Carcinoma Caused by Iatrogenic Hepatic Artery Dissection during Transcatheter Arterial ChemoembolizationGu-Seong Jeong0Jung-Wook Seo1Suk-Hyun Bae2Wonseon Shin3Department of Radiology, Inje University, Ilsan Paik Hospital, Goyang, KoreaDepartment of Radiology, Inje University, Ilsan Paik Hospital, Goyang, KoreaDepartment of Radiology, Inje University, Ilsan Paik Hospital, Goyang, KoreaDepartment of Radiology, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, KoreaTranscatheter arterial chemoembolization (TACE) improves the survival rate in patients with hepatocellular carcinoma (HCC). Despite the low probability, iatrogenic hepatic arterial dissections during interventional procedure are rarely created by the technical difficulties. Direct trauma from the guidewire, the tip of the catheter, or the jet of contrast injection can contribute to iatrogenic hepatic arterial dissections. We report one case of a female who had HCC necrosis caused by iatrogenic hepatic arterial dissection during TACE. Ischemia resulting from iatrogenic hepatic arterial dissection during TACE was smilar to the result of transarterial embolization for HCC on our case. To our knowledge, none of the similar cases was reported in previously published literatures.https://doi.org/10.3348/jksr.2019.80.3.562carcinomahepatocellularchemoembolizationtherapeuticintraoperative complicationsvascular system injuriesdissection
spellingShingle Gu-Seong Jeong
Jung-Wook Seo
Suk-Hyun Bae
Wonseon Shin
Necrosis of Hepatocellular Carcinoma Caused by Iatrogenic Hepatic Artery Dissection during Transcatheter Arterial Chemoembolization
대한영상의학회지
carcinoma
hepatocellular
chemoembolization
therapeutic
intraoperative complications
vascular system injuries
dissection
title Necrosis of Hepatocellular Carcinoma Caused by Iatrogenic Hepatic Artery Dissection during Transcatheter Arterial Chemoembolization
title_full Necrosis of Hepatocellular Carcinoma Caused by Iatrogenic Hepatic Artery Dissection during Transcatheter Arterial Chemoembolization
title_fullStr Necrosis of Hepatocellular Carcinoma Caused by Iatrogenic Hepatic Artery Dissection during Transcatheter Arterial Chemoembolization
title_full_unstemmed Necrosis of Hepatocellular Carcinoma Caused by Iatrogenic Hepatic Artery Dissection during Transcatheter Arterial Chemoembolization
title_short Necrosis of Hepatocellular Carcinoma Caused by Iatrogenic Hepatic Artery Dissection during Transcatheter Arterial Chemoembolization
title_sort necrosis of hepatocellular carcinoma caused by iatrogenic hepatic artery dissection during transcatheter arterial chemoembolization
topic carcinoma
hepatocellular
chemoembolization
therapeutic
intraoperative complications
vascular system injuries
dissection
url https://doi.org/10.3348/jksr.2019.80.3.562
work_keys_str_mv AT guseongjeong necrosisofhepatocellularcarcinomacausedbyiatrogenichepaticarterydissectionduringtranscatheterarterialchemoembolization
AT jungwookseo necrosisofhepatocellularcarcinomacausedbyiatrogenichepaticarterydissectionduringtranscatheterarterialchemoembolization
AT sukhyunbae necrosisofhepatocellularcarcinomacausedbyiatrogenichepaticarterydissectionduringtranscatheterarterialchemoembolization
AT wonseonshin necrosisofhepatocellularcarcinomacausedbyiatrogenichepaticarterydissectionduringtranscatheterarterialchemoembolization