RESUMEN
The main contents of the Clinical Practice Guidelines on Image-Guided Thermal Ablation (IGTA) of Primary and Metastatic Lung Tumors (2022 Edition) include the following: epidemiology of primary and metastatic lung tumors; the concepts of the IGTA and common technical features; procedures, indications, contraindications, outcomes evaluation, and related complications of IGTA on primary and metastatic lung tumors; and limitations and future development.
Asunto(s)
Técnicas de Ablación , Ablación por Catéter , Hipertermia Inducida , Neoplasias Pulmonares , Cirugía Asistida por Computador , Técnicas de Ablación/métodos , Ablación por Catéter/efectos adversos , Ablación por Catéter/métodos , Humanos , Hipertermia Inducida/métodos , Neoplasias Pulmonares/patología , Guías de Práctica Clínica como Asunto , Cirugía Asistida por Computador/métodosRESUMEN
We report the first European case of cerebral iodized lipid embolism post transcatheter arterial embolization for hepatocellular carcinoma. Lipiodol emboli and corresponding multifocal brain ischemia were documented with computed tomography (CT) and magnetic resonance (MR) in the acutely symptomatic patient. Transcranial Doppler sonography with contrast indicated a right-to-left shunt, while on a follow-up CT scan lipiodol embolization was detected in both lungs. Dilated pulmonary vessels and thick vascular channels were seen in the vicinity of the right diaphragm suggestive of pulmonary arteriovenous shunt. The patient symptoms regressed with supportive care alone, but he died 5 months later due to hepatic failure unrelated to the procedure.