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Temporary placement of inferior vena cava filter prior to transcatheter arterial embolization (TAE) for hepatocellular carcinoma with IVC tumor thrombus--prevention of pulmonary tumor emboli after TAE

Izaki, K.; Matsumoto, S.; Konishi, J.; Higashino, T.; Tsurusaki, M.; Fukuda, T.; Akasaka, Y.; Mori, T.; Sugimoto, K.; Fujii, M.; Sugimura, K.; Yoshikawa, T.; Hirota, S.; Hayashi, Y.

Gan to Kagaku Ryoho. Cancer and ChemoTherapy 28(11): 1708-1711

2001

ISSN/ISBN: 0385-0684
PMID: 11708015
Document Number: 536343
A 66-year-old-man with a right huge hepatocellular carcinoma (HCC) extending into both the right portal vein and the right atrium underwent transcatheter arterial embolization (TAE) via the right hepatic artery. Prior to the TAE, a temporary inferior vena cava (IVC) filter was placed suprarenally for prevention of pulmonary tumor emboli. When we replaced the temporary IVC filter with a new one 7 days after the TAE, the filter which was pulled out of the IVC captured a fragment of the tumor thrombus. A histopathological specimen demonstrated only ghost cells. The patient has been followed at our outpatient clinic without any tumor thrombus or pulmonary infarction for 13 months after this procedure.

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