Zachary S. Pallister, MD, Miguel Montero-Baker, MD, Joseph L

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Presentation transcript:

Percutaneous suction thrombectomy of large tumor thrombus causing massive pulmonary embolism  Zachary S. Pallister, MD, Miguel Montero-Baker, MD, Joseph L. Mills, MD, Jayer Chung, MD, MSc  Journal of Vascular Surgery Cases and Innovative Techniques  Volume 4, Issue 3, Pages 244-247 (September 2018) DOI: 10.1016/j.jvscit.2018.05.003 Copyright © 2018 The Authors Terms and Conditions

Fig 1 Computed tomography angiography (CTA) demonstrating the extent of the tumor embolus to the right (large arrows) and left (narrow arrows) pulmonary arterial circulation, resulting in a massive pulmonary embolus. A and B, Representative axial images. C and D, Sagittal and coronal images, respectively. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 244-247DOI: (10.1016/j.jvscit.2018.05.003) Copyright © 2018 The Authors Terms and Conditions

Fig 2 Initial angiogram demonstrating a large filling defect in the right superior and interlobar pulmonary arteries (arrow). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 244-247DOI: (10.1016/j.jvscit.2018.05.003) Copyright © 2018 The Authors Terms and Conditions

Fig 3 Tumor that was aspirated from the right superior and interlobar pulmonary arteries. Final pathologic examination revealed that the mass was indeed renal cell carcinoma (RCC). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 244-247DOI: (10.1016/j.jvscit.2018.05.003) Copyright © 2018 The Authors Terms and Conditions

Fig 4 Completion pulmonary angiography revealing normal filling of the superior and interlobar pulmonary arterial branches (arrow), with reactive hyperemia of the right middle and upper lobes of the lung. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 244-247DOI: (10.1016/j.jvscit.2018.05.003) Copyright © 2018 The Authors Terms and Conditions