AngioVac extraction of intra-atrial hepatoma masquerading as PICC-associated thrombus.
Thrombus associated with peripherally inserted central catheterization is not uncommon. Treatment is typically conservative; however, more aggressive therapies can be considered in patients with tenuous medical condition. The authors present a patient with metastatic hepatocellular carcinoma masquerading as peripherally inserted central catheter-associated intra-atrial thrombus, subsequently removed via vacuum-assisted mechanical thrombectomy.
Department of Radiology, Northwestern Memorial Hospital, Chicago, Illinois, USA. Samir.abboud@northwestern.edu.
Samir
S
Abboud
Kirtee
K
Raparia
Julianne M
JM
Ubago
Scott
S
Resnick
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D003937:Diagnosis, Differential; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006338:Heart Neoplasms / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D008297:Male; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome