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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 1/2013

01-02-2013 | Letter

Supraumbilical Subcutaneous Fat Necrosis After Transcatheter Arterial Chemoembolization with Drug-Eluting Beads: Case Report and Review of the Literature

Authors: Hee Yeon Kim, Si Hyun Bae, Chung-Hwa Park, Myeong Jun Song, Jong Young Choi, Seung Kew Yoon, Eun Sun Jung, Ho Jong Chun

Published in: CardioVascular and Interventional Radiology | Issue 1/2013

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Excerpt

Recently, transcatheter arterial chemoembolization (TACE) using the drug-eluting embolic microsphere DC Bead (Biocompatibles, Surrey, UK) loaded with doxorubicin resulted in better objective response rates with less systemic complications compared with conventional TACE [1, 2]. A rare but well-known complications of TACE is a supraumbilical skin rash caused by the flow of chemotherapeutic agent into the hepatic falciform artery (HFA). To date, this cutaneous complication was only described for intraarterial chemotherapy infusion or conventional TACE [3‐5]. We present a patient with hepatocellular carcinoma (HCC) who developed subcutaneous fat necrosis of the abdominal wall after TACE with DC Bead. …
Literature
1.
Sacco R, Bargellini I, Bertini M et al (2011) Conventional versus doxorubicin-eluting bead transarterial chemoembolization for hepatocellular carcinoma. J Vasc Interv Radiol 22:1545–1552PubMedCrossRef
2.
Lammer J, Malagari K, Vogl T et al (2010) Prospective randomized study of doxorubicin-eluting-bead embolization in the treatment of hepatocellular carcinoma: results of the PRECISION V study. Cardiovasc Intervent Radiol 33:41–52PubMedCrossRef
3.
Lin CC, Wu DK, Shih PM et al (2004) Supraumbilical skin rash and fat necrosis after transcatheter arterial chemoembolization: a case report. Kaohsiung J Med Sci 20:36–40PubMedCrossRef
4.
Umemura T, Yamamura N, Nagata A et al (1998) Case report: steatonecrosis in the upper abdomen following transcatheter arterial embolization for hepatocellular carcinoma. J Gastroenterol Hepatol 13:471–474PubMedCrossRef
5.
Ueno K, Miyazono N, Inoue H et al (1995) Embolization of the hepatic falciform artery to prevent supraumbilical skin rash during transcatheter arterial chemoembolization for hepatocellular carcinoma. Cardiovasc Intervent Radiol 18:183–185PubMedCrossRef
6.
Gibo M, Hasuo K, Inoue A et al (2001) Hepatic falciform artery: angiographic observations and significance. Abdom Imaging 26:515–519PubMedCrossRef
7.
Williams DM, Cho KJ, Ensminger WD et al (1985) Hepatic falciform artery: anatomy, angiographic appearance, and clinical significance. Radiology 156:339–340PubMed
8.
Baba Y, Miyazono N, Ueno K et al (2000) Hepatic falciform artery. Angiographic findings in 25 patients. Acta Radiol 41:329–333PubMedCrossRef
9.
Kim DE, Yoon HK, Ko GY et al (1999) Hepatic falciform artery: is prophylactic embolization needed before short-term hepatic arterial chemoinfusion? AJR Am J Roentgenol 172:1597–1599PubMed
10.
Ibukuro K, Tsukiyama T, Mori K et al (1998) Hepatic falciform ligament artery: angiographic anatomy and clinical importance. Surg Radiol Anat 20:367–371PubMedCrossRef
11.
Abada HT, Golzarian J (2007) Gelatine sponge particles: handling characteristics for endovascular use. Tech Vasc Interv Radiol 10:257–260PubMedCrossRef
12.
Demachi H, Matsui O, Abo H et al (2000) Simulation model based on non-Newtonian fluid mechanics applied to the evaluation of the embolic effect of emulsions of iodized oil and anticancer drug. Cardiovasc Intervent Radiol 23:285–290PubMedCrossRef
13.
Kanzaki H, Nouso K, Miyahara K et al (2009) A case of hepatocellular carcinoma with skin injury of the upper abdominal wall after transcatheter arterial chemoembolization: a case report. Cases J 2:7197PubMedCrossRef
Metadata
Title
Supraumbilical Subcutaneous Fat Necrosis After Transcatheter Arterial Chemoembolization with Drug-Eluting Beads: Case Report and Review of the Literature
Authors
Hee Yeon Kim
Si Hyun Bae
Chung-Hwa Park
Myeong Jun Song
Jong Young Choi
Seung Kew Yoon
Eun Sun Jung
Ho Jong Chun
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 1/2013
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-012-0356-6

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