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PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
1994-4-26
pubmed:abstractText
Intra-arterial digital subtraction angiography using CO2 (CO2-IA-DSA) is effective for detecting arteriovenous and arterioportal shunts in the liver. We carried out CO2-IA-DSA in addition to selective arteriography using a iodinated contrast medium in 31 patients with unresectable hepatocellular carcinoma (HCC). As a result, CO2-IA-DSA detected an AV shunt in 4/31 patients and an AP shunt in 16/31 patients for a total of 20 cases of shunt, whereas conventional hepatic IA-DSA detected only AP (AV shunt) shunts in 3/31 patients. For HCC without any shunt, Gelfoam embolization was carried out after injection of Lipiodol and Farmorubicin (FARM). In patients with an AP shunt, injection of Lipiodol and FARM was performed after the shunt had been embolized with Gelfoam. In patients with an AV shunt, Lipiodol and FARM were injected after the shunt had been embolized with a metallic coil. In conclusion, detection of shunts by CO2-IA-DSA is useful for determining the optimal approach for transcatheter arterial injection.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0344-5704
pubmed:author
pubmed:issnType
Print
pubmed:volume
33 Suppl
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S109-10
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
Efficacy of CO2-DSA in embolization.
pubmed:affiliation
Department of Radiology, Dokkyo Medical College, Koshigaya Hospital, Japan.
pubmed:publicationType
Journal Article