Percutaneous transcatheter aspiration of pulmonary embolism leading to diagnosis of hepatocellular carcinoma tumor embolus and change in systemic chemotherapy

Abstract: The management of metastatic hepatocellular carcinoma (HCC) is complex, particularly when complicated by pulmonary embolism. In these cases, atezolizumab-bevacizumab therapy is contraindicated due to an elevated risk of thromboembolic events. Differentiating pulmonary tumor embolism from thromboembolic disease is diagnostically challenging. This report outlines the benefit of transcatheter aspiration to obtain pathological evidence of pulmonary artery tumor embolus in an HCC patient. The intervention enabled a significant shift in the management strategy, leading to an escalation of systemic HCC therapy. This case underscores the importance of precise diagnostic techniques such as transcatheter aspiration in guiding treatment decisions, particularly in cases where pulmonary embolism may signify an underlying malignancy-driven process

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch
Notes
Acta radiologica open. - 13, 6 (2024) , 1-5, ISSN: 2058-4601

Event
Veröffentlichung
(where)
Freiburg
(who)
Universität
(when)
2024
Creator
Verloh, Niklas
Vogt, Katharina
Bettinger, Dominik
Schultheiß, Michael
Kandilaris, Kosmas
Holzner, Philipp Anton
Doppler, Michael
Uller, Wibke

DOI
10.1177/20584601241253780
URN
urn:nbn:de:bsz:25-freidok-2491167
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 10:44 AM CEST

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Associated

Time of origin

  • 2024

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