ID | 32095 |
JaLCDOI | |
フルテキストURL | |
著者 |
Fujiwara, Hiroyasu
Okayama University
Mimura, Hidefumi
Okayama University
Yasui, Kotaro
Okayama University
Akaki, Shiro
Okayama University
Naomoto, Yoshio
Okayama University
Tanaka, Noriaki
Okayama University
Hiraki, Yoshio
Okayama University
|
抄録 | To clarify the incidence, background, and progress of hepatic infarction following interventional procedures, cases of hepatic infarction following interventional procedures at our department during the last decade were identified by reviewing the clinical records of 1982 abdominal angiography and interventional procedures and records of abdominal CT. Nine episodes (0.5%) in 8 patients were identified as hepatic infarction following an interventional procedure. Five episodes were preceded by embolization of the hepatic or celiac artery at emergency angiography for postoperative bleeding with hemorrhagic shock. Three episodes followed the elected interventional procedure for hepatocellular carcinoma, and the remaining episode occurred after 12 months of chemoinfusion through an indwelling catheter in the hepatic artery and portal vein. Hepatic arterial occlusion in all episodes and portal venous flow abnormality in 5 episodes were observed on angiography. Four patients whose liver function was initially impaired died of hepatic infarction, although the extent of the disease on CT did not appear to be related to the mortality. Multiple risk factors, including arterial insufficiency, were observed in each patient. The incidence of hepatic infarction following interventional procedures in this series was low but sometimes fatal, and occurred most frequently in emergency embolization in hemorrhagic shock. |
キーワード | liver
infarction
interventional
procedure
angiography
computedtomography
|
Amo Type | Article
|
出版物タイトル |
Acta Medica Okayama
|
発行日 | 2004-04
|
巻 | 58巻
|
号 | 2号
|
出版者 | Okayama University Medical School
|
開始ページ | 97
|
終了ページ | 106
|
ISSN | 0386-300X
|
NCID | AA00508441
|
資料タイプ |
学術雑誌論文
|
言語 |
英語
|
論文のバージョン | publisher
|
査読 |
有り
|
PubMed ID | |
Web of Science KeyUT |