Same-Day Repeat Hepatopulmonary Shunt Measurement during Planning Angiography for Hepatic Radioembolization.
J Vasc Interv Radiol
; 31(7): 1069-1073, 2020 Jul.
Article
em En
| MEDLINE
| ID: mdl-32439249
ABSTRACT
This report describes a technique for measuring lung shunt fraction (LSF) twice in a single session during planning arteriography for radioembolization using low and standard dose technetium-99m macroaggregated albumin (99mTc-MAA). A patient with a 16.0 cm hepatocellular carcinoma and LSF of 70% was treated with lenvatinib for 4 weeks. Planning arteriography with administration of 0.5 millicuries of 99mTc-MAA was then performed. Arterial access was maintained while the LSF was calculated, which was persistently elevated at 54%. Embolization of arteriovenous shunts was performed during the same session and 5.0 millicuries of 99mTc-MAA were administered. The repeat LSF was 29%. Successful radioembolization was subsequently performed.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Angiografia
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Agregado de Albumina Marcado com Tecnécio Tc 99m
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Circulação Pulmonar
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Compostos Radiofarmacêuticos
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Embolização Terapêutica
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Circulação Hepática
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Neoplasias Hepáticas
Tipo de estudo:
Prognostic_studies
Limite:
Aged
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Humans
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Male
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article