Endovascular Removal of Intracardiac Thrombus Prior to Radical Nephrectomy and Inferior Vena Cava Thrombectomy

Palmer, Drew; Humphrey, J. A. C.; Fredrick, Ariel; Piemonte, Thomas C.; Libertino, John A.

doi:10.1016/j.urology.2016.07.020

Cited by 4 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, because some patients have PE before or after surgery and are not eligible for surgery, conservative treatment was still adopted for these patients in our diagnosis and treatment strategy. In this article, 4 patients receiving conservative treatment survived, and their average follow‐up time was 21.3

\pm

11.1 7–31 months. The follow‐up time was short and longer follow‐up is still needed for long‐term outcomes.…”

Section: Discussionmentioning

confidence: 93%

“…7 In addition, stasis or turbulent flow past the thrombus could lead to the deposition of bland thrombus on the vena cava thrombus. 6 Although the effect of anticoagulant drugs on tumor thrombus embolism is negative, tiny In addition, we reviewed 16 related literature [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] 4.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, we reviewed 16 related literature 19–34 on Pubmed by keywords of renal tumor thrombus and pulmonary embolism. The total number of patients was 17, age ranging from 35 to 82 years old, with males accounting for 64.7% and females accounting for 35.3%.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Diagnosis and treatment strategies for intraoperative pulmonary embolism caused by renal tumor thrombus shedding

Chen

Liu

et al. 2022

Journal of Cardiac Surgery

View full text Add to dashboard Cite

Aim To provide an overview of techniques for prevention, immediate diagnosis, and treatment strategies of intraoperative pulmonary embolism caused by renal tumor thrombus shedding. Methods A total of 290 patients admitted into our medical center from March 2015 to May 2021 were retrospectively analyzed. All patients underwent radical nephrectomy with tumor thrombectomy. Six patients were diagnosed as pulmonary embolism during the perioperative period, of which two patients had tumor thrombus shedding. One patient underwent thoracotomy and thrombectomy, one patient underwent interventional thrombectomy, and four patients underwent conservative treatment. All patients have gone through our diagnosis and strategy flow chart. Demographic data, tumor characteristics, tumor thrombus characteristics, and follow‐up data were collected. Results In the preoperative risk factor assessment, of the 253 patients who entered the follow‐up, 163 were women, 48 were older than 60 years old, and 83 had a duration of more than 2 months. In addition, 27 patients had tumor thrombus with bland thrombus, and 43 patients had floating tumor thrombus. 78 patients underwent postoperative anticoagulation after evaluation. The average follow‐up time was 23.3 ± $\pm $ 8.6 months (range, 7–31 months). All patients were alive during the follow‐up period. Conclusion For acute pulmonary embolism during nephrectomy and tumor thrombectomy, management strategies can be used to deal with intraoperative emergencies and provide reference.

show abstract

\pm

11.1 7–31 months. The follow‐up time was short and longer follow‐up is still needed for long‐term outcomes.…”

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnosis and treatment strategies for intraoperative pulmonary embolism caused by renal tumor thrombus shedding

Chen

Liu

et al. 2022

Journal of Cardiac Surgery

View full text Add to dashboard Cite

show abstract

“…The clinical manifestations of renal carcinoma patients with Mayo-IV grade thrombus include local symptoms such as hematuria, low back pain and abdominal mass, as well as systemic symptoms such as fatigue, weight loss, anemia and hypertension. A few patients presented symptoms of IVC obstruction such as lower extremity edema, varicocele and superficial abdominal varicose veins and intraatrial thrombus related symptoms such as chest dampness and shortness of breath, night sweats and dizziness (18)(19)(20). It has been shown that about 95% of such patients had symptoms (21).…”

Section: Discussionmentioning

confidence: 99%

PUTH Grading System for Urinary Tumor With Supradiaphragmatic Tumor Thrombus: Different Surgical Techniques for Different Tumor Characteristics

Liu

et al. 2022

Front. Oncol.

View full text Add to dashboard Cite

PurposeTo explore the different treatment strategies for urinary tumors with Mayo IV thrombus.Materials and MethodsWe retrospectively analyzed the patients with Mayo IV thrombus in Peking University Third Hospital from January 2014 to April 2021. We used the Peking University Third Hospital (PUTH) grading system to classify urinary tumors with supradiaphragmatic thrombus. PUTH-A referred to the filled thrombus whose tip just reached above the diaphragm, or the thrombus entering the right atrium (< 2cm). PUTH-B referred to the filled thrombus entering the right atrium (> 2cm), or the thrombus invading the wall of the inferior pericardial vena cava. Detailed techniques were described for various scenarios. Clinicopathological data and perioperative outcomes were reported. Group difference statistical analysis was performed.ResultsA total of 26 cases of urinary tumors with supradiaphragmatic IVC thrombus (Mayo grade IV) underwent treatment were enrolled in this study. 19 patients in the PUTH-A group received the open approach without sternotomy and cardiopulmonary bypass. Seven patients in the PUTH-B group received open thoracotomy assisted by cardiopulmonary bypass. No intraoperative death occurred. After 56 months of follow-up, 46.2% (12 of 26) patients died of all causes. Estimated 1-year, 2-year, and 3-year overall survival were 72.0% (95% CI, 54.4%-89.6%), 58.2% (95% CI, 38.0%-78.4%), and 52.4% (95% CI, 31.2%-73.6%), respectively.ConclusionsWe introduced the PUTH grading system for the characteristics of urinary tumors with supradiaphragmatic tumor thrombus, and selected different surgical techniques according to different classifications. This grading system was relatively feasible and effective.

show abstract

Surgery for Renal Cell Carcinoma with Thrombus Extension into the Vena Cava

Libertino¹,

Wotkowicz²,

Gee³

2019

Renal Cancer

View full text Add to dashboard Cite

Endovascular Removal of Intracardiac Thrombus Prior to Radical Nephrectomy and Inferior Vena Cava Thrombectomy

Cited by 4 publications

References 3 publications

Diagnosis and treatment strategies for intraoperative pulmonary embolism caused by renal tumor thrombus shedding

Diagnosis and treatment strategies for intraoperative pulmonary embolism caused by renal tumor thrombus shedding

PUTH Grading System for Urinary Tumor With Supradiaphragmatic Tumor Thrombus: Different Surgical Techniques for Different Tumor Characteristics

Surgery for Renal Cell Carcinoma with Thrombus Extension into the Vena Cava

Contact Info

Product

Resources

About