Mechanical thrombolysis as an adjunct therapy to management of portal vein thrombosis following Radio Frequency Ablation

A O Hairol; C A Affirul; A Azlanudin; Z Zamri; J Razman; S Y Choi

doi:10.7417/CT.2017.1974

Mechanical thrombolysis as an adjunct therapy to management of portal vein thrombosis following Radio Frequency Ablation

Clin Ter. 2017 Jan-Feb;168(1):e5-e7. doi: 10.7417/CT.2017.1974.

Authors

A O Hairol¹, C A Affirul², A Azlanudin¹, Z Zamri¹, J Razman¹, S Y Choi³

Affiliations

¹ Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur.
² Department of Surgery, Universiti Sains Islam Malaysia, Kuala Lumpur.
³ Department of Surgery, Korea University Medical Centre, Seoul, Korea.

PMID: 28240755
DOI: 10.7417/CT.2017.1974

Abstract

Radiofrequency ablation (RFA) has evolved to become the treatment of choice for non-resectable recurrent colorectal liver metastasis. It is however, not without complications. Portal vein thrombosis following RFA is rare but can be fatal to the outcome of the patient. Here, we present a case of a 66-year-old man who developed portal vein thrombosis following RFA. CT scan revealed a left portal vein thrombosis. This case report highlights the challenges and multimodal treatment of portal vein thrombosis following Radiofrequency ablation (RFA) in a cirrhotic patient.

Keywords: Colorectal; Liver metastases; Portal vein; Radiofrequency ablation; Thrombolysis.

Publication types

Case Reports

MeSH terms

Aged
Catheter Ablation / adverse effects*
Humans
Male
Mechanical Thrombolysis / methods*
Portal Vein
Tomography, X-Ray Computed
Venous Thrombosis / therapy*