FDA Adverse Event Death Summary report: N

Y-90 THERASPHERE (3 GBQ) CANADA COMM

MDR report key: 12061308 · Received June 24, 2021

Report

Report Number
2134265-2021-08012
Event Type
Death
Date Received
June 24, 2021
Date of Event
September 14, 2018
Report Date
June 24, 2021
Manufacturer
BIOCOMPATIBLES UK LIMITED
Product Code
NAW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

EXACT DATE OF IMPLANT IS UNKNOWN. IMPLANT DATE IS ESTIMATED TO THE FIRST DAY OF THE MONTH OF IMPLANT. ZHANG, J.-W., YU, Z.-Y., LI, H.-B., YI, S.-H., LIU, W., YANG, Y., & WANG, G.-Y. (2021). SEVERE BILE DUCT COMPLICATION AFTER YTTRIUM-90 RADIOEMBOLIZATION THERAPY IN A PATIENT WITH RECURRENT HEPATOCELLULAR CARCINOMA AFTER LIVER TRANSPLANTATION: A CASE REPORT. LIVER RESEARCH, 5(1), 33,35. HTTPS://DOI.ORG/10.1016/J.LIVRES.2020.10.002.

Description of Event or Problem · 1

IT WAS REPORTED VIA JOURNAL ARTICLE THAT A DEATH OCCURRED. CASE REPORT: PATIENT WITH HEPATOCELLULAR CARCINOMA (HCC) WAS TREATED WITH THERASPHERE Y90 MICROSPHERES. APPROXIMATELY, FOUR WEEKS POST PROCEDURE, THE PATIENTS LIVER FUNCTION GRADUALLY DETERIORATED FOR WHICH HE WAS HOSPITALIZED. HIGH BODY TEMPERATURE AND ABDOMINAL DISTENTION WERE ALSO NOTED. AT THIS TIME, PATIENT WAS DIAGNOSED WITH ISCHEMIC-TYPE BILIARY LESION INDUCED BY RADIOEMBOLIZATION. PATIENT WAS TREATED WITH LIVER PROTECTION THERAPY, CHOLERETIC THERAPY, BILIARY MICROCIRCULATION IMPROVEMENT TREATMENT, AND NUTRITIONAL SUPPORT. SYMPTOMS DID NOT IMPROVE AND RENAL FUNCTION DECLINED. ALPHA FETOPROTEIN LEVELS INCREASED AND COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE IMAGING SHOWED WORSENING OF HEPATIC LESIONS AND ISCHEMIC CHOLANGITIS. APPROXIMATELY 12 WEEKS LATER, THE PATIENT CONTINUED TO DECLINE AND DEVELOPED A SEVERE UPPER GASTROINTESTINAL HEMORRHAGE AND PASSED AWAY TWO DAYS LATER. THE CAUSE OF DEATH ON THE DEATH CERTIFICATE WAS SEVERE GASTROINTESTINAL BLEEDING CAUSE BY LIVER FAILURE, BILE DUCT INJURE, LIVER MALIGNANCY RECURRENCE AFTER LIVER TRANSPLANTATION , LUNG METASTASES, AND THORACOLUMBAR METASTASES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
956919 Y-90 THERASPHERE (3 GBQ) CANADA COMM MICROSPHERES RADIONUCLIDE NAW BIOCOMPATIBLES UK LIMITED

Patients

Seq Age Sex Outcome Treatment
1 37 YR Death