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KMID : 0386119930290051015
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Journal of the Korean Radiological Society
1993 Volume.29 No. 5 p.1015 ~ p.1019
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Detection of A-V Shunting with CO2-DSA in Hepatocellular Carcinoma
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고병관
김재규/김진엽/정태웅/서정진/강형근
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Abstract
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The presence of A-V shunting in hepatocellular carcinoma is an important factor for deciding the prognosis and in the management with transarterial chemoembolization.
Twenty-four patients with hepatocellular carcinoma performed with CO2-DSA and iodinated-DSA were reviewed for the evaluation of visibility of A-V shunting. It was classified by the visibility into clearly visible, faintly visible and invisible.
Also the
authors evaluated neovascularity and tumor staining. And we checked side effects after the injection of CO2 gas during CO2-DSA.
A-V shunting was noted in 19 cases(63%), which were clearly visible in 15 of 19 cases(79%) on CO2-DSA and in 7 of 19 cases(37%) on iodinated-DSA. In 3 cases, A-V shunting was noted only on CO2-DSA. CO2-DSA(17%)was inferior to iodinated-DSA in
detection
of neovasculaity and tumor staining. Side effects from CO2-DSA were abdominal pain(1 case) and chest discomfort(1 case) but improved within several minutes.
In conclusion, CO2-DSA is a sensitive and effective method for the detection of A-V shunting in hepatoma.
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KEYWORD
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