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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Hepatic arterial embolization complicated by acute cholecystitis.
1Section of Interventional Radiology, Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, New York.
Seminars in Interventional Radiology
|June 2, 2012
Summary
Hepatic arterial embolization (HAE) can cause gallbladder ischemia, potentially requiring intervention. This case highlights acute cholecystitis following HAE, necessitating a cholecystostomy tube placement.
Area of Science:
- Interventional Radiology
- Hepatobiliary Oncology
- Vascular Interventions
Background:
- Hepatic arterial embolization (HAE) is a key treatment for hepatic tumors.
- Complications of HAE are comparable to transcatheter arterial chemoembolization (TACE), excluding chemotherapy side effects.
- Particle reflux into the cystic artery is often asymptomatic but can lead to gallbladder ischemia.
Purpose of the Study:
- To report a case of acute cholecystitis following HAE.
- To discuss the management of gallbladder ischemia secondary to HAE.
- To highlight the potential need for intervention in HAE-related gallbladder complications.
Main Methods:
- Review of a clinical case involving a patient who underwent HAE.
- Analysis of the patient's post-procedure course and development of acute cholecystitis.
- Documentation of the subsequent cholecystostomy tube placement.
Main Results:
- The patient developed acute cholecystitis after HAE.
- Gallbladder ischemia was suspected as the cause.
- A cholecystostomy tube was required for management.
Conclusions:
- Gallbladder ischemia is a potential complication of HAE, even without chemotherapy.
- Clinical vigilance is necessary to identify and manage HAE-induced gallbladder complications.
- Cholecystostomy tube placement may be required for severe cases of HAE-related acute cholecystitis.
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