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

대한영상의학회지 2019년 80권 3호 p.562 ~ 567
 ( Jeong Gu-Seong ) - Inje University Ilsan Paik Hospital Department of Radiology

 ( Seo Jung-Wook ) - Inje University Ilsan Paik Hospital Department of Radiology
 ( Bae Suk-Hyun ) - Inje University Ilsan Paik Hospital Department of Radiology
 ( Shin Won-Seon ) - Hallym University Dongtan Sacred Heart Hospital Department of Radiology

Abstract


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.

키워드

Carcinoma, Hepatocellular; Chemoembolization, Therapeutic; Intraoperative Complications; Vascular System Injuries; Dissection
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