大口径吸栓术治疗肾细胞癌肺栓塞的临床效果

Q4 Medicine

JACC. Case reports Pub Date : 2025-10-08 DOI:10.1016/j.jaccas.2025.105358

Anand Mulji MD, Tony Rizk DO, Yara Younan MD, Stephen Stringfellow MD, Antony Gayed MD

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引用次数: 0

摘要

我们对先前报道的一例66岁男性肾细胞癌患者进行了4年的纵向随访，该患者接受了根治性肾切除术，并发大量肺动脉肿瘤栓塞，并接受了大口径吸入性血栓切除术。连续4年的临床评估和影像学显示，在最初的干预后没有疾病复发的证据。本病例强调了急诊大口径穿刺取栓术在肿瘤治疗中的作用，不仅作为一种治疗干预手段，而且在组织病理学表征和指导肿瘤治疗方面具有诊断作用。大口径吸入性血栓切除术可能为肿瘤肺栓塞患者提供长期的疾病控制。这个过程可以帮助诊断，并通过组织获取告知肿瘤治疗计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Clinical Outcomes of Large-Bore Aspiration Thrombectomy for Tumor Pulmonary Embolism in Renal Cell Carcinoma

We present a 4-year longitudinal follow-up of a previously reported case involving a 66-year-old man with renal cell carcinoma who underwent radical nephrectomy, complicated by a massive pulmonary artery tumor embolism treated with large-bore aspiration thrombectomy. Serial clinical evaluations and imaging over 4 years have shown no evidence of disease recurrence following the initial intervention. This case underscores the evolving role of emergent large-bore aspiration thrombectomy in oncologic settings, not only as a therapeutic intervention but also for its diagnostic utility in enabling histopathologic characterization and guiding oncologic management.

Take-Home Messages

Large-bore aspiration thrombectomy may offer long-term disease control in cases of tumor pulmonary embolism. This procedure can aid diagnosis and inform oncologic treatment planning through tissue acquisition.

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