Kojodjojo Pipin, Tay Edgar, Chua Gim Chuah, Lee Victor
Asian Heart and Vascular Centre, Singapore.
Parkway Radiology, Gleneagles Hospital, Singapore.
Ann Vasc Dis. 2024 Dec 25;17(4):433-436. doi: 10.3400/avd.cr.24-00069. Epub 2024 Oct 24.
Disseminated venous thromboembolism (VTE) occurs commonly in cancer patients, who tend to have contraindications to systemic thrombolysis and require cancer surgery. Such clinical scenarios are often challenging to manage. In this case report, we illustrate an innovative, single procedural approach in such a patient to remove extensive VTE, improve symptoms, prevent hemodynamic decompensation, and allow for a minimal level of anticoagulation such that necessary cancer surgery can proceed safely.
播散性静脉血栓栓塞症(VTE)在癌症患者中很常见,这些患者往往存在全身溶栓的禁忌证且需要进行癌症手术。这种临床情况的处理通常具有挑战性。在本病例报告中,我们展示了一种针对此类患者的创新的单一程序方法,用于清除广泛的VTE、改善症状、预防血流动力学失代偿,并允许进行最低水平的抗凝,以便必要的癌症手术能够安全进行。