title: Invasive hepatocellular carcinoma with recurrent pulmonary embolism: use of AngioVac cannula thrombectomy device for mechanical aspiration.
abstract: Right atrial and vena cava thrombus is a challenging clinical problem with limited treatment options for percutaneous extraction. We describe the use of a novel AngioVac venous extracorporeal bypass system (AngioDynamics) to remove a part of large right atrial tumor and thrombus in a patient with recurrent pulmonary embolism from hepatocellular carcinoma infiltrating into the inferior vena cava and the right atrium.
authors.affiliation: MetroHealth Campus, Case Western Reserve University, Cleveland, OH 44109 USA. sgandhi@metrohealth.org.
authors.forename: Prasanna
authors.initials: P
authors.lastname: Sengodan
authors.forename: Harpreet
authors.initials: H
authors.lastname: Grewal
authors.forename: Sanjay
authors.initials: S
authors.lastname: Gandhi
mesh_terms: D000328:Adult; D000792:Angiography; D000925:Anticoagulants / Q000627:therapeutic use; D000970:Antineoplastic Agents / Q000627:therapeutic use; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D017984:Enoxaparin / Q000627:therapeutic use; D017809:Fatal Outcome; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D009361:Neoplasm Invasiveness / Q000473:pathology; D009536:Niacinamide / Q000031:analogs & derivatives / Q000627:therapeutic use; D010671:Phenylurea Compounds / Q000627:therapeutic use; D011655:Pulmonary Embolism / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery*; D000077157:Sorafenib; D013396:Suction / Q000295:instrumentation / Q000379:methods; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging
chemical_list: D000925:Anticoagulants; D000970:Antineoplastic Agents; D017984:Enoxaparin; D010671:Phenylurea Compounds; D009536:Niacinamide; D000077157:Sorafenib