Percutaneous suction thrombectomy of large tumor thrombus causing massive pulmonary embolism

Zachary S. Pallister; Miguel Montero-Baker; Joseph L. Mills; Jayer Chung

doi:10.1016/j.jvscit.2018.05.003

Percutaneous suction thrombectomy of large tumor thrombus causing massive pulmonary embolism

Zachary S. Pallister, Miguel Montero-Baker, Joseph L. Mills, Jayer Chung

Surgery

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

We describe a patient who underwent a renal cell carcinoma resection with inferior vena cava thrombectomy complicated by tumor embolization. This resulted in massive pulmonary embolism requiring venous-arterial extracorporeal membrane oxygenation. The patient was ineligible for systemic or catheter-directed thrombolysis because of the recent surgical resection and postoperative hemorrhage. Hence, the patient underwent percutaneous suction thrombectomy with successful removal of the tumor thrombus and significant clinical improvement. This report represents a unique case of suction thrombectomy for the removal of tumor embolus from the pulmonary circulation and highlights the ability of suction thrombectomy in the management of massive pulmonary embolism.

Original language	English (US)
Pages (from-to)	244-247
Number of pages	4
Journal	Journal of Vascular Surgery Cases and Innovative Techniques
Volume	4
Issue number	3
DOIs	https://doi.org/10.1016/j.jvscit.2018.05.003
State	Published - Sep 2018

Keywords

Continuous aspiration embolectomy
Pulmonary embolism
Renal cell carcinoma

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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10.1016/j.jvscit.2018.05.003

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title = "Percutaneous suction thrombectomy of large tumor thrombus causing massive pulmonary embolism",

abstract = "We describe a patient who underwent a renal cell carcinoma resection with inferior vena cava thrombectomy complicated by tumor embolization. This resulted in massive pulmonary embolism requiring venous-arterial extracorporeal membrane oxygenation. The patient was ineligible for systemic or catheter-directed thrombolysis because of the recent surgical resection and postoperative hemorrhage. Hence, the patient underwent percutaneous suction thrombectomy with successful removal of the tumor thrombus and significant clinical improvement. This report represents a unique case of suction thrombectomy for the removal of tumor embolus from the pulmonary circulation and highlights the ability of suction thrombectomy in the management of massive pulmonary embolism.",

keywords = "Continuous aspiration embolectomy, Pulmonary embolism, Renal cell carcinoma",

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AU - Pallister, Zachary S.

AU - Montero-Baker, Miguel

AU - Mills, Joseph L.

AU - Chung, Jayer

PY - 2018/9

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N2 - We describe a patient who underwent a renal cell carcinoma resection with inferior vena cava thrombectomy complicated by tumor embolization. This resulted in massive pulmonary embolism requiring venous-arterial extracorporeal membrane oxygenation. The patient was ineligible for systemic or catheter-directed thrombolysis because of the recent surgical resection and postoperative hemorrhage. Hence, the patient underwent percutaneous suction thrombectomy with successful removal of the tumor thrombus and significant clinical improvement. This report represents a unique case of suction thrombectomy for the removal of tumor embolus from the pulmonary circulation and highlights the ability of suction thrombectomy in the management of massive pulmonary embolism.

AB - We describe a patient who underwent a renal cell carcinoma resection with inferior vena cava thrombectomy complicated by tumor embolization. This resulted in massive pulmonary embolism requiring venous-arterial extracorporeal membrane oxygenation. The patient was ineligible for systemic or catheter-directed thrombolysis because of the recent surgical resection and postoperative hemorrhage. Hence, the patient underwent percutaneous suction thrombectomy with successful removal of the tumor thrombus and significant clinical improvement. This report represents a unique case of suction thrombectomy for the removal of tumor embolus from the pulmonary circulation and highlights the ability of suction thrombectomy in the management of massive pulmonary embolism.

KW - Continuous aspiration embolectomy

KW - Pulmonary embolism

KW - Renal cell carcinoma

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Percutaneous suction thrombectomy of large tumor thrombus causing massive pulmonary embolism

Abstract

Keywords

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