Successful mechanical thrombectomy and stent exclusion of sacral chordoma tumor thrombus

Radiology Case Reports

article

Valeria Gioioso¹  David Duncan¹  Jeet Minocha¹  Jonas Redmond¹ 

[1] University of California San Diego Health

关键词: Interventional radiology;    Sacral chordoma;    Mechanical thrombectomy;    Tumor thrombus;    Deep venous thrombosis;    Venous stenting;   

DOI  :  10.1016/j.radcr.2022.09.082

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

A 77-year-old man with history of sacral chordoma and pulmonary embolism presented to the emergency room with a 1-day history of diffuse left flank and lower extremity swelling. The patient was found to have thrombus in the left common and external iliac veins. The patient was brought to Interventional Radiology for mechanical thrombectomy using the Inari ClotTriever and a sample of extracted thrombus was sent to pathology. Analysis on the sample was positive for sacral chordoma, consistent with tumor thrombus. The patient returned after 6 weeks with similar symptoms and repeat mechanical thrombectomy was performed with the Inari ClotTriever and stent placement through the left common and external iliac vein with an Ovation iX stent graft. The patient remained asymptomatic following the second procedure at repeat follow-up at 6 weeks.

【 授权许可】

CC BY|CC BY-NC-ND