CC BY 4.0 · The Arab Journal of Interventional Radiology 2024; 08(01): 046-048
DOI: 10.1055/s-0044-1779493
Case Report

Ischemic Stroke Post-Transradial Chemoembolization

1   Vascular & Interventional Radiologist, Radiology Department, King Faisal Specialist Hospital & Research Center – Jeddah, Saudi Arabia
,
Mohamed A. Omar
2   Vascular & Interventional Radiologist, Department of Medical Imaging, King Abdullah Medical City, Saudi Arabia
,
Abdulaziz M. Tashkandi
3   Gastroenterology & Hepatology, Digestive & Liver Health Center, King Abdullah Medical City, Saudi Arabia
› Author Affiliations

Abstract

Transarterial chemoembolization is one of the approved locoregional treatment options for hepatocellular carcinoma. The procedure is safe; however, stroke may happen as one of the rarest complications. Our patient is a 68-year-old male who underwent transradial chemoembolization to treat hepatocellular carcinoma, who then developed ischemic stroke on postoperative day 1. The possible causes of stroke in our patient will be presented with review of the literature. Although rare, stroke post-chemoembolization can happen. The presence of intratumoral shunt or inadvertent injection of air bubbles in a coexisting right-to-left shun or the use of transradial approach can increase the risk of stroke.



Publication History

Article published online:
29 February 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Llovet JM, Real MI, Montaña X. et al; Barcelona Liver Cancer Group. Arterial embolisation or chemoembolisation versus symptomatic treatment in patients with unresectable hepatocellular carcinoma: a randomised controlled trial. Lancet 2002; 359 (9319) 1734-1739
  • 2 Tu J, Jia Z, Ying X. et al. The incidence and outcome of major complication following conventional TAE/TACE for hepatocellular carcinoma. Medicine (Baltimore) 2016; 95 (49) e5606
  • 3 Ishimaru H, Morikawa M, Sakugawa T. et al. Cerebral lipiodol embolism related to a vascular lake during chemoembolization in hepatocellular carcinoma: a case report and review of the literature. World J Gastroenterol 2018; 24 (37) 4291-4296
  • 4 Jang EH, Kim ET, Choi WS, Gwon DI. Lipiodol brain embolism through right inferior phrenic artery-pulmonary vein shunt after transcatheter arterial chemoembolization. Gastrointest Interv 2018; 7: 91-93