Shinoda Yukinori, Watanabe Tetsuya, Minamisaka Tomoko, Fukuoka Hidetada, Inui Hirooki, Ueno Keisuke, Inoue Soki, Mine Kentaro, Hoshida Shiro
Department of Cardiovascular Medicine, Yao Municipal Hospital, Yao, Osaka, Japan.
Ann Vasc Dis. 2019 Sep 25;12(3):388-391. doi: 10.3400/avd.cr.19-00024.
An 80-year-old woman presented with general fatigue and leg edema for several months. Ultrasonography and contrast-enhanced computed tomographic angiography revealed inferior vena cava thrombosis, ilio-iliac arteriovenous fistula (AVF), and iliac artery pseudoaneurysm. Furthermore, malignant cells were observed in the aspirated thrombus. Although thrombus aspiration and anticoagulant therapy were unsuccessful in reducing the thrombotic mass and alleviating her symptoms, endovascular therapy for AVF and pseudoaneurysm improved her leg edema without recurrence or any endoleak. These findings highlight that endovascular therapy can be effective in older adults with cancer because of its low invasiveness.
一名80岁女性出现数月的全身乏力和腿部水肿。超声检查和增强CT血管造影显示下腔静脉血栓形成、髂-髂动静脉瘘（AVF）和髂动脉假性动脉瘤。此外，在吸出的血栓中观察到恶性细胞。尽管血栓抽吸和抗凝治疗未能减少血栓块并缓解她的症状，但针对AVF和假性动脉瘤的血管内治疗改善了她的腿部水肿，且无复发或任何内漏。这些发现突出表明，血管内治疗因其低侵入性，对老年癌症患者可能有效。
