Radioembolization induced liver disease, a brief and limited description
17
RADIOEMBOLIZATION INDUCED LIVER DISEASE! • Aaron Shiloh, MD • Section Chief, IR • Diagnostic Imaging, Inc. • Philadelphia
-
Upload
aaron-shiloh-md-fsir -
Category
Health & Medicine
-
view
36 -
download
3
Transcript of Radioembolization induced liver disease, a brief and limited description
RADIOEMBOLIZATION INDUCED LIVER DISEASE!
• Aaron Shiloh, MD• Section Chief, IR
• Diagnostic Imaging, Inc.• Philadelphia
73 YO S/P PRIOR LEFT HEPATECTOMY WITH MULTIPLE RIGHT HEPATIC HCC
• ECOG O, Childs Pugh A• Left Hepatectomy 2007• T Bili 0.5, Alk Phos 81, AST 56, ALT 42• Non alcoholic• No prior chemotherapy
Two months later…
• Pt presents with ascites, jaundice, fatigue• MRI performed • Labs obtained
REILD
• Presents as jaundice and ascites 1-2 months post RE in the absence of tumor progression or bile duct occlusion
• Cirrhosis and exposure to prior chemotherapy have been shown to be predictors of REILD
Hepatology. 2012 Dec 10. doi: 10.1002/hep.26191. [Epub ahead of print]
Prognostic factors and prevention of radioembolization-induced liver disease.
Gil-Alzugaray B, Chopitea A, Iñarrairaegui M, Bilbao JI, Rodriguez-Fraile M, Rodriguez J, Benito A, Dominguez I
, D'Avola D, Herrero JI, Quiroga J, Prieto J, Sangro B.
Complications following radioembolization with yttrium-90 microspheres: a comprehensive literature reviewA Riaz, RJ Lewandowski, LM Kulik, MF Mulcahy… - Journal of Vascular and …, 2009 - Elsevier
