Neoadjuvant targeted therapy in a primary metastasized renal cell cancer patient leads to down-staging of inferior vena cava thrombus (IVC) enabling a cardiopulmonary bypass-free tumor nephrectomy: a case report

2012 ◽  
Vol 32 (1) ◽  
pp. 245-248 ◽  
Author(s):  
Inga Peters ◽  
Michael Winkler ◽  
Björn Jüttner ◽  
Omke E. Teebken ◽  
T. R. Herrmann ◽  
...  
2019 ◽  
Vol 62 (1) ◽  
pp. 19-22
Author(s):  
José Eduardo Telich-Tarriba ◽  
◽  
Rodrigo Bolaños-Jiménez ◽  
Jorge Arizmendi-Vargas ◽  
Alejandra Martínez-Schulted ◽  
...  

2021 ◽  
pp. 152660282110250
Author(s):  
Yun Chul Park ◽  
Hyoung Ook Kim ◽  
Nam Yeol Yim ◽  
Byung Chan Lee ◽  
Chan Park ◽  
...  

Purpose The treatment of suprahepatic inferior vena cava (IVC) ruptures results in high mortality rates due to difficulty in performing the surgical procedure. Here, we present a case of successful endovascular management of a life-threatening suprahepatic IVC rupture with top-down placement of a stent graft. Case Report A 33-year-old woman was involved in a traffic accident and presented to our emergency department due to unstable hemodynamics after blunt abdominal wall trauma. Computed tomography (CT) revealed massive extravasation of contrast agent from the suprahepatic IVC, which suggested traumatic suprahepatic IVC rupture. To seal the IVC, to salvage major hepatic veins, and to prevent migration of the stent graft into the right side of the heart after placement, an aortic cuff with a proximal hook was introduced in a top-down direction via the right internal jugular vein. After closure of the injured IVC, the patient’s hemodynamics improved, and additional laparotomy was performed. After 3 months of trauma care, the patient recovered and was discharged. Follow-up CT after 58 months showed a patent stent graft within the IVC. Conclusion Endovascular management with top-down placement of a stent graft is a viable option for emergent damage control in patients with life-threatening hemorrhage from IVC rupture.


2017 ◽  
Vol 85 (4) ◽  
pp. 361-365
Author(s):  
José Antonio López-Ruiz ◽  
Luis Tallón-Aguilar ◽  
Beatriz Marenco-de la Cuadra ◽  
José López-Pérez ◽  
Fernando Oliva-Mompeán ◽  
...  

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