Premium
Deep vein thrombosis during chemotherapy in a patient with advanced testicular cancer: Successful percutaneous thrombectomy under temporary placement of retrievable inferior vena cava filter
Author(s) -
Koga Fumitaka,
Yamada Tetsuhisa,
Ishimaru Hisashi,
Sadaoka ShunIchi,
Mizuo Toshiyuki
Publication year - 2001
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.1442-2042.2001.00256.x
Subject(s) - medicine , inferior vena cava , deep vein , thrombosis , radiology , surgery , chemotherapy , percutaneous , inferior vena cava filter , venous thrombosis
A 27‐year‐old man with advanced testicular cancer experienced two events of deep vein thrombosis (DVT) during three cycles of cisplatin‐based combination chemotherapy; the first thrombotic event occurred in the inferior vena cava (IVC) following the initial two cycles of chemotherapy and the second thrombotic event occurred in the right iliac vein following the third cycle. For both thrombotic events, he was successfully managed with thrombolytic therapy and percutaneous thrombectomy using a transcatheter hydraulic thrombectomy device under temporary placement of a retrievable IVC filter. Stasis of the IVC due to compression by a retroperitoneal lymphadenopathy of 7 cm in diameter, which was demonstrated on computed tomographic scans at presentation, was considered a major cause of DVT during chemotherapy. Patients with bulky retroperitoneal disease causing stasis of major veins are at high risk of DVT associated with chemotherapy and thromboprophylaxis should be strongly considered during their chemotherapy.