書誌事項
- タイトル別名
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- Ultrasonographic Evaluation of a Hepatic Arterial Infusion Catheter Causing Cerebral Embolism: Case Report
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Cerebral embolism is one of the major complications associated with hepatic arterial chemotherapy using percutaneous catheter placement with an implantable port. We report a case of “basilar top syndrome” after insertion of a heparin-coated catheter from the left subclavian artery for treatment of multiple liver metastases.<BR>A 47-year-old woman with hepatic metastases from sigmoid colon cancer was treated by hepatic artery infusion of 5-FU. The patient developed neurologic signs and symptoms including disorientation, aphasia and motor weakness in her right hand on July 4th, 2000. CT scan detected small low-density areas in the bilateral thalamus. B-mode (color duplex) ultrasonography displayed the catheter in the left subclavian artery. The catheter showed to-and-fro movement pulsatively synchronized with her respiration and heartbeat. Fast Fourier Doppler images detected the sounds of the catheter beating against the vessel wall. The patient recovered after treatment with low-dose heparin and aspirin.<BR>In this case, it is possible that the thrombus migrated into the left vertebral artery from the surface of the catheter and/or the atheromatous plaque in the subclavian artery. B-mode ultrasonography was useful for diagnosing the etiology of the thrombus.
収録刊行物
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- Neurosonology:神経超音波医学
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Neurosonology:神経超音波医学 15 (3), 146-150, 2002
一般社団法人日本脳神経超音波学会
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詳細情報 詳細情報について
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- CRID
- 1390001204420125696
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- NII論文ID
- 130001742671
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- ISSN
- 18843336
- 0917074X
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可