Percutaneous suction thrombectomy of large tumor thrombus causing massive pulmonary embolism

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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)244-247
Number of pages4
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume4
Issue number3
DOIs
StatePublished - Sep 1 2018
Externally publishedYes

Fingerprint

Thrombectomy
Suction
Pulmonary Embolism
Thrombosis
Neoplasms
Surgical Blood Loss
Postoperative Hemorrhage
Extracorporeal Membrane Oxygenation
Pulmonary Circulation
Inferior Vena Cava
Embolism
Renal Cell Carcinoma
Catheters

Keywords

  • Continuous aspiration embolectomy
  • Pulmonary embolism
  • Renal cell carcinoma

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Percutaneous suction thrombectomy of large tumor thrombus causing massive pulmonary embolism. / Pallister, Zachary S.; Montero-Baker, Miguel; Mills, Joseph L; Chung, Jayer.

In: Journal of Vascular Surgery Cases and Innovative Techniques, Vol. 4, No. 3, 01.09.2018, p. 244-247.

Research output: Contribution to journalArticle

@article{75b6c9fc1a714cfaaf549262f01e318d,
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",
author = "Pallister, {Zachary S.} and Miguel Montero-Baker and Mills, {Joseph L} and Jayer Chung",
year = "2018",
month = "9",
day = "1",
doi = "10.1016/j.jvscit.2018.05.003",
language = "English (US)",
volume = "4",
pages = "244--247",
journal = "Journal of Vascular Surgery Cases and Innovative Techniques",
issn = "2352-667X",
publisher = "Elsevier BV",
number = "3",

}

TY - JOUR

T1 - Percutaneous suction thrombectomy of large tumor thrombus causing massive pulmonary embolism

AU - Pallister, Zachary S.

AU - Montero-Baker, Miguel

AU - Mills, Joseph L

AU - Chung, Jayer

PY - 2018/9/1

Y1 - 2018/9/1

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

UR - http://www.scopus.com/inward/record.url?scp=85052441469&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052441469&partnerID=8YFLogxK

U2 - 10.1016/j.jvscit.2018.05.003

DO - 10.1016/j.jvscit.2018.05.003

M3 - Article

VL - 4

SP - 244

EP - 247

JO - Journal of Vascular Surgery Cases and Innovative Techniques

JF - Journal of Vascular Surgery Cases and Innovative Techniques

SN - 2352-667X

IS - 3

ER -