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


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

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