Pulmonary Oil Embolism after TACE of HCC

Diffuse GGO with ill-defined nodules
Brief Discussion

Diffuse GGO with ill-defined nodules
Some proportion of iodized oil in hepatic artery leave the liver through normal hepatic vasculature or
      an arteriovenous hepatic shunt of HCC -> embolize the pulmonary vascular network
Most severe 2-10 D after TACE
Time required to reach toxic concentration of free fatty acids
 > 20 mL of iodized oil (>0.3 mL/kg)


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