Suction thrombectomy for management of pulmonary tumor embolism in the setting of hepatocellular carcinoma with macrovascular invasion

Authors

Mohammad H. Jalili, Department of Radiology, Yale New Haven Health, Bridgeport Hospital, Bridgeport, CT, USA.Follow
Joshua Cornman-Homonoff, Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.

Document Type

Article

Publication Title

Radiology case reports

Abstract

Pulmonary tumor thrombi are rare but challenging to treat given the generally poor health of the patients in whom they occur and the low likelihood of the embolism to respond to anticoagulation. Management options include therapeutic anticoagulation and surgery, but the mortality rate is high in either case. Thus, in patients who are symptomatic, the decision about whether to intervene may be challenging. Here the authors present an alternative minimally invasive approach, illustrated in the case of a patient with hepatocellular carcinoma who developed intermediate-risk pulmonary tumor embolism that was successfully managed via suction embolectomy. Such treatment should be considered not just as a life-saving intervention but as a palliative one as well.

First Page

4627

Last Page

4630

DOI

10.1016/j.radcr.2024.07.051

Publication Date

10-1-2024

Recommended Citation

Jalili, Mohammad H. and Cornman-Homonoff, Joshua, "Suction thrombectomy for management of pulmonary tumor embolism in the setting of hepatocellular carcinoma with macrovascular invasion" (2024). Radiology. 25.
https://scholar.bridgeporthospital.org/radiology/25

Identifier

39220791 (pubmed); PMC11363695 (pmc); 10.1016/j.radcr.2024.07.051 (doi); S1930-0433(24)00637-X (pii)