Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2022)

Aspiration thrombectomy for inferior vena cava tumor thrombus arising from hepatocellular carcinoma

  • David Chadow, MD,
  • Paul Haser, MD,
  • Alok Aggarwal, MD,
  • Roberto Perezgrovas-Olaria, MD,
  • Giovanni Soletti, Jr., MD,
  • Christopher Lau, MD,
  • Ricardo Castillo, MD,
  • Vijay Jaswani, MD,
  • Mario Gaudino, MD, PhD,
  • Hal Chadow, MD

Journal volume & issue
Vol. 8, no. 3
pp. 538 – 541

Abstract

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Pharmacomechanical therapy and catheter-directed thrombolysis have been shown to be very effective in the treatment of venous thromboembolism; however, there is much less data regarding inferior vena cava thrombi. Tumor thrombi pose an even greater clinical challenge as anti-coagulation and thrombolysis are not effective. We present the case of a 61-year-old male who presented with an inferior vena cava thrombus emanating from an accessory right hepatic vein, treated with aspiration thrombectomy.

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