Abstract
The presence of thrombus within the inferior vena cava (IVC) is often a sign of advance hepatocellular carcinoma (HCC). Various treatment methods have been described with variable and inconclusive results. Now, the advancement of endovascular approach offers new possibility as a potential treatment modality.We discuss the removal of tumour thrombus with catheter directed mechanical thrombectomy. IVC tumour secondary HCC was removed by AngioJet® rheolytic system (Possis Medical, Minneapolis, MN, USA) with good result. Further work should be encouraged to explore the prospect of this technique with other treatment modalities.
Keywords :
endovascular,
hepatocellular carcinoma,
inferior vena cava,
intervention radiology,
thrombectomy,
Abstrak
Trombus di dalam salur vena kava inferior biasanya memberi gambaran kanser hati tahap terakhir. Sebelum ini, tidak ada sebarang rawatan yang dapat memberikan keputusan yang memberangsangkan. Tetapi dengan kaedah rawatan endovaskular, harapan baru mungkin dapat dikecapi. Kami ingin mempertengahkan satu kes dimana terapi endovaskular menggunakan AngioJet® rheolytic system (Possis Medical, Minneapolis, MN, USA), dapat menunjukkan keputusan yang positif.
Kata Kunci :
endovaskular,
karsinoma hati,
salur vena kava,
trombektomi,
Correspondance Address
Nik Ritza Kosai, Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel: +603-91456202 Fax: +603-91456684 Email: nikkosai@yahoo.co.uk
