Hepatic infarction following abdominal interventional procedures

Hiroyasu Fujiwara, Susumu Kanazawa, Takao Hiraki, Hidefumi Mimura, Kotaro Yasui, Shiro Akaki, Takahito Yagi, Yoshio Naomoto, Noriaki Tanaka, Yoshio Hiraki

Research output: Contribution to journalReview articlepeer-review

9 Citations (Scopus)

Abstract

To clarify the incidence, background, and progress of hepatic infarction following interventional procedures, cases of hepatic infarction following interventional procedures at our department during the last decade were identified by reviewing the clinical records of 1982 abdominal angiography and interventional procedures and records of abdominal CT. Nine episodes (0.5%) in 8 patients were identified as hepatic infarction following an interventional procedure. Five episodes were preceded by embolization of the hepatic or celiac artery at emergency angiography for postoperative bleeding with hemorrhagic shock. Three episodes followed the elected interventional procedure for hepatocellular carcinoma, and the remaining episode occurred after 12 months of chemoinfusion through an indwelling catheter in the hepatic artery and portal vein. Hepatic arterial occlusion in all episodes and portal venous flow abnormality in 5 episodes were observed on angiography. Four patients whose liver function was initially impaired died of hepatic infarction, although the extent of the disease on CT did not appear to be related to the mortality. Multiple risk factors, including arterial insufficiency, were observed in each patient. The incidence of hepatic infarction following interventional procedures in this series was low but sometimes fatal, and occurred most frequently in emergency embolization in hemorrhagic shock.

Original languageEnglish
Pages (from-to)97-106
Number of pages10
JournalActa medica Okayama
Volume58
Issue number2
Publication statusPublished - Apr 2004

Keywords

  • Angiography
  • Computed tomography
  • Infarction
  • Interventional procedure
  • Liver

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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