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Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...

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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
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Hepatic radioembolization complicated by abscess.

Neil Mascarenhas1, Robert K Ryu, Riad Salem

  • 1Department of Radiology - Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Seminars in Interventional Radiology
|June 2, 2012
PubMed
Summary

Hepatic abscess is a rare complication following yttrium-90 radioembolization for liver tumors, particularly in patients with prior biliary procedures. Prompt diagnosis via imaging and treatment with antibiotics and drainage are crucial.

Keywords:
Radioembolizationabscessembolizationinfection

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Area of Science:

  • Hepatology
  • Interventional Radiology
  • Oncology

Background:

  • Yttrium-90 radioembolization is a treatment for hepatic tumors.
  • Hepatic abscess is a rare but serious complication.
  • Patients with a history of biliary intervention are at higher risk.

Purpose of the Study:

  • To describe the occurrence and characteristics of hepatic abscess after yttrium-90 radioembolization.
  • To highlight the importance of prompt diagnosis and management.

Main Methods:

  • Review of cases of hepatic abscess post-yttrium-90 radioembolization.
  • Analysis of patient history, presentation, and diagnostic imaging.
  • Evaluation of treatment outcomes.

Main Results:

  • Hepatic abscess is an uncommon complication of yttrium-90 radioembolization.
  • Symptoms typically manifest several weeks after treatment, including pain, nausea, vomiting, and fever.
  • Cross-sectional imaging is essential for diagnosis.

Conclusions:

  • Hepatic abscess requires timely diagnosis and management.
  • Treatment involves antibiotics and percutaneous drainage.
  • Awareness of this complication is important for clinicians managing patients undergoing yttrium-90 radioembolization.