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Experimental and Therapeutic Medicine
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Print ISSN: 1792-0981 Online ISSN: 1792-1015
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February-2018 Volume 15 Issue 2

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International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

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International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

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Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

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Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

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Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

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Sustained multiple organ ischaemia after transarterial chemoembolization with drug-eluting beads for hepatocellular carcinoma

  • Authors:
    • Young Woon Kim
    • Jung Hyun Kwon
    • Soon Woo Nam
    • Jeong Won Jang
    • Hyun Suk Jung
    • Yu Ri Shin
    • Eun Su Park
    • Dong Jae Shim

  • View Affiliations / Copyright

    Affiliations: Department of Internal Medicine, Division of Hepatology, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon 21431, Republic of Korea, Department of Internal Medicine, Division of Hepatology, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul 06591, Republic of Korea, Department of Radiology, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon 21431, Republic of Korea, Department of Pathology, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon 21431, Republic of Korea
    Copyright: © Kim et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 1479-1483
    |
    Published online on: November 22, 2017
       https://doi.org/10.3892/etm.2017.5540
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Abstract

Transarterial chemoembolization (TACE) with drug‑eluting beads (DC beads) may enhance drug delivery to tumours and reduce systemic toxicity. TACE with DC beads leads to significantly fewer serious side‑effects compared with conventional TACE. A 66‑year‑old man with hepatocellular carcinoma (HCC) complained of continuous abdominal pain 1 month after TACE with DC beads. At the time of TACE, angiography revealed severe stenosis of both hepatic arteries. The diagnostic work up on admission suggested severe bile duct injury with regional bile duct dilatation, segmental liver and spleen infarction, necrotizing pancreatitis, as well as gastric and duodenal ulcers. The pathology specimens of the duodenum contained DC beads that had passed through small vessels in the connective tissue. The patient's condition appeared to improve after 2 weeks of antibiotic treatment and supportive care, but new multifocal liver and spleen infarction subsequently developed. After 2 months, he was well enough to be discharged. His HCC partially responded to the TACE with DC beads but eventually progressed and he died after 11 months. The present case report highlights unexpected ongoing multiple organ ischaemia in a 66‑year‑old man treated for HCC using TACE with DC beads. The use of TACE with DC beads should be carefully considered in patients with vascular strictures or aberrant blood supply.

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Copy and paste a formatted citation
Spandidos Publications style
Kim YW, Kwon JH, Nam SW, Jang JW, Jung HS, Shin YR, Park ES and Shim DJ: Sustained multiple organ ischaemia after transarterial chemoembolization with drug-eluting beads for hepatocellular carcinoma. Exp Ther Med 15: 1479-1483, 2018.
APA
Kim, Y.W., Kwon, J.H., Nam, S.W., Jang, J.W., Jung, H.S., Shin, Y.R. ... Shim, D.J. (2018). Sustained multiple organ ischaemia after transarterial chemoembolization with drug-eluting beads for hepatocellular carcinoma. Experimental and Therapeutic Medicine, 15, 1479-1483. https://doi.org/10.3892/etm.2017.5540
MLA
Kim, Y. W., Kwon, J. H., Nam, S. W., Jang, J. W., Jung, H. S., Shin, Y. R., Park, E. S., Shim, D. J."Sustained multiple organ ischaemia after transarterial chemoembolization with drug-eluting beads for hepatocellular carcinoma". Experimental and Therapeutic Medicine 15.2 (2018): 1479-1483.
Chicago
Kim, Y. W., Kwon, J. H., Nam, S. W., Jang, J. W., Jung, H. S., Shin, Y. R., Park, E. S., Shim, D. J."Sustained multiple organ ischaemia after transarterial chemoembolization with drug-eluting beads for hepatocellular carcinoma". Experimental and Therapeutic Medicine 15, no. 2 (2018): 1479-1483. https://doi.org/10.3892/etm.2017.5540
Copy and paste a formatted citation
x
Spandidos Publications style
Kim YW, Kwon JH, Nam SW, Jang JW, Jung HS, Shin YR, Park ES and Shim DJ: Sustained multiple organ ischaemia after transarterial chemoembolization with drug-eluting beads for hepatocellular carcinoma. Exp Ther Med 15: 1479-1483, 2018.
APA
Kim, Y.W., Kwon, J.H., Nam, S.W., Jang, J.W., Jung, H.S., Shin, Y.R. ... Shim, D.J. (2018). Sustained multiple organ ischaemia after transarterial chemoembolization with drug-eluting beads for hepatocellular carcinoma. Experimental and Therapeutic Medicine, 15, 1479-1483. https://doi.org/10.3892/etm.2017.5540
MLA
Kim, Y. W., Kwon, J. H., Nam, S. W., Jang, J. W., Jung, H. S., Shin, Y. R., Park, E. S., Shim, D. J."Sustained multiple organ ischaemia after transarterial chemoembolization with drug-eluting beads for hepatocellular carcinoma". Experimental and Therapeutic Medicine 15.2 (2018): 1479-1483.
Chicago
Kim, Y. W., Kwon, J. H., Nam, S. W., Jang, J. W., Jung, H. S., Shin, Y. R., Park, E. S., Shim, D. J."Sustained multiple organ ischaemia after transarterial chemoembolization with drug-eluting beads for hepatocellular carcinoma". Experimental and Therapeutic Medicine 15, no. 2 (2018): 1479-1483. https://doi.org/10.3892/etm.2017.5540
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