Inferior Vena Cava Occlusion and Ilio-Iliac Arteriovenous Fistula Caused by Tumor Invasion: A Case Report

An 80-year-old woman presented with general fatigue and leg edema for several months. Ultrasonography and contrast-enhanced computed tomographic angiography revealed inferior vena cava thrombosis, ilio-iliac arteriovenous fistula (AVF), and iliac artery pseudoaneurysm. Furthermore, malignant cells w...

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Autores principales: Shinoda, Yukinori, Watanabe, Tetsuya, Minamisaka, Tomoko, Fukuoka, Hidetada, Inui, Hirooki, Ueno, Keisuke, Inoue, Soki, Mine, Kentaro, Hoshida, Shiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766779/
https://www.ncbi.nlm.nih.gov/pubmed/31636752
http://dx.doi.org/10.3400/avd.cr.19-00024
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author Shinoda, Yukinori
Watanabe, Tetsuya
Minamisaka, Tomoko
Fukuoka, Hidetada
Inui, Hirooki
Ueno, Keisuke
Inoue, Soki
Mine, Kentaro
Hoshida, Shiro
author_facet Shinoda, Yukinori
Watanabe, Tetsuya
Minamisaka, Tomoko
Fukuoka, Hidetada
Inui, Hirooki
Ueno, Keisuke
Inoue, Soki
Mine, Kentaro
Hoshida, Shiro
author_sort Shinoda, Yukinori
collection PubMed
description An 80-year-old woman presented with general fatigue and leg edema for several months. Ultrasonography and contrast-enhanced computed tomographic angiography revealed inferior vena cava thrombosis, ilio-iliac arteriovenous fistula (AVF), and iliac artery pseudoaneurysm. Furthermore, malignant cells were observed in the aspirated thrombus. Although thrombus aspiration and anticoagulant therapy were unsuccessful in reducing the thrombotic mass and alleviating her symptoms, endovascular therapy for AVF and pseudoaneurysm improved her leg edema without recurrence or any endoleak. These findings highlight that endovascular therapy can be effective in older adults with cancer because of its low invasiveness.
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spelling pubmed-67667792019-10-21 Inferior Vena Cava Occlusion and Ilio-Iliac Arteriovenous Fistula Caused by Tumor Invasion: A Case Report Shinoda, Yukinori Watanabe, Tetsuya Minamisaka, Tomoko Fukuoka, Hidetada Inui, Hirooki Ueno, Keisuke Inoue, Soki Mine, Kentaro Hoshida, Shiro Ann Vasc Dis Case Report An 80-year-old woman presented with general fatigue and leg edema for several months. Ultrasonography and contrast-enhanced computed tomographic angiography revealed inferior vena cava thrombosis, ilio-iliac arteriovenous fistula (AVF), and iliac artery pseudoaneurysm. Furthermore, malignant cells were observed in the aspirated thrombus. Although thrombus aspiration and anticoagulant therapy were unsuccessful in reducing the thrombotic mass and alleviating her symptoms, endovascular therapy for AVF and pseudoaneurysm improved her leg edema without recurrence or any endoleak. These findings highlight that endovascular therapy can be effective in older adults with cancer because of its low invasiveness. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019-09-25 /pmc/articles/PMC6766779/ /pubmed/31636752 http://dx.doi.org/10.3400/avd.cr.19-00024 Text en Copyright © 2019 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2019 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Shinoda, Yukinori
Watanabe, Tetsuya
Minamisaka, Tomoko
Fukuoka, Hidetada
Inui, Hirooki
Ueno, Keisuke
Inoue, Soki
Mine, Kentaro
Hoshida, Shiro
Inferior Vena Cava Occlusion and Ilio-Iliac Arteriovenous Fistula Caused by Tumor Invasion: A Case Report
title Inferior Vena Cava Occlusion and Ilio-Iliac Arteriovenous Fistula Caused by Tumor Invasion: A Case Report
title_full Inferior Vena Cava Occlusion and Ilio-Iliac Arteriovenous Fistula Caused by Tumor Invasion: A Case Report
title_fullStr Inferior Vena Cava Occlusion and Ilio-Iliac Arteriovenous Fistula Caused by Tumor Invasion: A Case Report
title_full_unstemmed Inferior Vena Cava Occlusion and Ilio-Iliac Arteriovenous Fistula Caused by Tumor Invasion: A Case Report
title_short Inferior Vena Cava Occlusion and Ilio-Iliac Arteriovenous Fistula Caused by Tumor Invasion: A Case Report
title_sort inferior vena cava occlusion and ilio-iliac arteriovenous fistula caused by tumor invasion: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766779/
https://www.ncbi.nlm.nih.gov/pubmed/31636752
http://dx.doi.org/10.3400/avd.cr.19-00024
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