Division of Cardiovascular Surgery, Department of Surgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien City 970473, Taiwan.
Department of Surgery, School of Medicine, Tzu Chi University, Hualien City 97004, Taiwan.
Medicina (Kaunas). 2024 Aug 22;60(8):1369. doi: 10.3390/medicina60081369.
Cancer-associated venous thromboembolism (CAT) poses a severe threat, disrupting ongoing cancer management and adversely impacting treatment outcomes. CAT often leads to a two- to six-fold increase in mortality rates when it progresses to venous total occlusion. The primary modalities employed in addressing this life-threatening complication include anticoagulant therapy only or coupled with strategic endovascular interventions. Aggressive endovascular interventions, such as mechanical thrombectomy and venous stent implantation, are crucial in mitigating thrombotic complications, relieving symptoms, and improving this vulnerable population's overall quality of life and life expectancy. This case report presents a CAT case extending to the total occlusion of the inferior vena cava. Our goal is to provide valuable insights into the evolving management of CAT and its sequelae, showcasing treatment approaches that lead to improved outcomes and a better quality of life for cancer patients facing these additional challenges.
癌症相关性静脉血栓栓塞症（CAT）威胁严重，会扰乱正在进行的癌症治疗管理并对治疗结果产生不利影响。当 CAT 进展为静脉完全闭塞时，死亡率通常会增加两到六倍。解决这种危及生命的并发症的主要方法包括仅抗凝治疗或与策略性血管内介入联合治疗。积极的血管内介入治疗，如机械血栓切除术和静脉支架植入术，对于减轻血栓并发症、缓解症状以及提高这一脆弱人群的整体生活质量和预期寿命至关重要。本病例报告介绍了一例 CAT 病例，其延伸至下腔静脉完全闭塞。我们的目标是为 CAT 及其后遗症的不断发展的管理提供有价值的见解，展示可改善结果和提高面临这些额外挑战的癌症患者生活质量的治疗方法。
