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经导管动脉栓塞术(TAE)治疗合并下腔静脉瘤栓的肝细胞癌前临时放置下腔静脉滤器——预防TAE术后肺肿瘤栓塞

[Temporary placement of inferior vena cava filter prior to transcatheter arterial embolization (TAE) for hepatocellular carcinoma with IVC tumor thrombus--prevention of pulmonary tumor emboli after TAE].

作者信息

Izaki K, Matsumoto S, Konishi J, Higashino T, Tsurusaki M, Fukuda T, Akasaka Y, Mori T, Sugimoto K, Fujii M, Sugimura K, Yoshikawa T, Hirota S, Hayashi Y

机构信息

Dept. of Biomedical Informatics, Division of Radiology, Kobe University Graduate School of Medicine.

出版信息

Gan To Kagaku Ryoho. 2001 Oct;28(11):1708-11.

PMID:11708015
Abstract

A 66-year-old-man with a right huge hepatocellular carcinoma (HCC) extending into both the right portal vein and the right atrium underwent transcatheter arterial embolization (TAE) via the right hepatic artery. Prior to the TAE, a temporary inferior vena cava (IVC) filter was placed suprarenally for prevention of pulmonary tumor emboli. When we replaced the temporary IVC filter with a new one 7 days after the TAE, the filter which was pulled out of the IVC captured a fragment of the tumor thrombus. A histopathological specimen demonstrated only ghost cells. The patient has been followed at our outpatient clinic without any tumor thrombus or pulmonary infarction for 13 months after this procedure.

摘要

一名66岁男性,患有巨大的右肝细胞癌(HCC),肿瘤延伸至右门静脉和右心房,通过右肝动脉接受了经导管动脉栓塞术(TAE)。在TAE之前,于肾上方放置了一个临时下腔静脉(IVC)滤器,以预防肺肿瘤栓塞。TAE术后7天,当我们用一个新的IVC滤器替换临时滤器时,从IVC中取出的滤器捕获到了一块肿瘤血栓碎片。组织病理学标本仅显示为鬼影细胞。该患者在此手术后在我们的门诊随访了13个月,未出现任何肿瘤血栓或肺梗死。

相似文献

1
[Temporary placement of inferior vena cava filter prior to transcatheter arterial embolization (TAE) for hepatocellular carcinoma with IVC tumor thrombus--prevention of pulmonary tumor emboli after TAE].经导管动脉栓塞术(TAE)治疗合并下腔静脉瘤栓的肝细胞癌前临时放置下腔静脉滤器——预防TAE术后肺肿瘤栓塞
Gan To Kagaku Ryoho. 2001 Oct;28(11):1708-11.
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Inferior vena cava filter placement for prevention of pulmonary tumor emboli of renal cancer with renal vein or vena caval tumor thrombus: prophylactic usage prior to transcatheter arterial embolization.下腔静脉滤器置入术用于预防伴有肾静脉或腔静脉瘤栓的肾癌肺肿瘤栓塞:在经导管动脉栓塞术前的预防性应用
Radiat Med. 1998 Sep-Oct;16(5):335-9.
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[A case of hepatoma suspected pulmonary emboli following transcatheter arterial embolization].1例经导管动脉栓塞术后疑似肺栓塞的肝癌病例
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[A patient with hepatocellular carcinoma and portal vein thrombosis in 1st branch who was treated by transcatheter arterial embolization].[一名患有肝细胞癌且门静脉一级分支血栓形成的患者,接受了经导管动脉栓塞治疗]
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Successful management of inferior vena cava thrombus complicating advanced germ cell testicular tumor with temporary inferior vena cava filter.采用临时下腔静脉滤器成功治疗晚期睾丸生殖细胞肿瘤合并下腔静脉血栓形成
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[Effectiveness of radiation therapy to the venous thrombosis between the inferior vena cava and right ventricle].[放射治疗对下腔静脉与右心室之间静脉血栓形成的有效性]
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[A case report of hepatocellular carcinoma with hepatic and portal venous tumor thrombus and multiple intrahepatic metastasis who survived over 1 year after the operation with combined locoregional chemotherapy].[肝细胞癌合并肝门静脉瘤栓及多发肝内转移经局部区域化疗联合手术治疗后存活1年以上1例报告]
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