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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Lipiodol - Iodinated/iodized oil (RCM)

2

XVIII.h Eye-catcher: Lipiodol embolism

2
Last update : 19/04/2013
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Doxorubicin - Adriamycin
3
Lipids (parenteral)
3
Oil-/lipid-based formulations (parenteral)
3
Radiocontrast media (RCM)
5
Transhepatic arterial chemoembolization (TACE)
3

Publications

Cerebral lipiodol embolism related to a vascular lake during chemoembolization in hepatocellular carcinoma: A case report and review of the literature.
World journal of gastroenterology 2018 Oct 07;24;4291-4296 2018 Oct 07
Imaging of nonthrombotic pulmonary embolism: biological materials, nonbiological materials, and foreign bodies.
European journal of radiology 2013 Mar;82;e120-41 2013 Mar
Pulmonary lipiodol embolism after transcatheter arterial chemoembolization for hepatocellular carcinoma: a case report and literature review.
Journal of the Medical Association of Thailand = Chotmaihet thangphaet 2013 Feb;96 Suppl 2;S270-5 2013 Feb
Education and Imaging. Hepatobiliary and pancreatic: pulmonary emboli after transcatheter arterial chemoembolization for hepatocellular carcinoma.
Journal of gastroenterology and hepatology 2010 Aug;25;1466 2010 Aug
Complications following lymphography with particular reference to pulmonary oil embolization.
The American journal of roentgenology, radium therapy, and nuclear medicine 1966 Apr;96;972-8 1966 Apr

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