Venous Bypass and Filtration during Nephrectomy for Renal Carcinoma with Tumour Thrombus in the Retrohepatic Cava

Rivas, Louis F.; Brown, A. Hedley; Neal, David E.

doi:10.1111/j.1464-410x.1991.tb15301.x

Cited by 12 publications

(7 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…19 Cardiopulmonary bypass with or without complete hypothermic circulatory arrest has been performed routinely at some centers when thrombus extends into the retrohepatic or suprahepatic inferior vena cava. 20,21 Janosko et al 22 described a modified technique of venoatrial bypass that can be used when the decision regarding open heart surgery must be made intraoperatively. 20,21 Janosko et al 22 described a modified technique of venoatrial bypass that can be used when the decision regarding open heart surgery must be made intraoperatively.…”

Section: Discussionmentioning

confidence: 99%

Renal cell carcinoma invading the hepatic veins

Ciancio

Soloway

2001

Cancer

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Renal cell carcinoma invading the hepatic veins

Ciancio

Soloway

2001

Cancer

View full text Add to dashboard Cite

“…[11][12][13] Venovenous bypass is also a complicated and timeconsuming procedure to maintain venous return. [13][14][15] In contrast, aortic cross-clamping is a simple, convenient, and effective method for stabilizing systemic circulation. 10 In conclusion, we herein reported successful surgical treatment for ESS extending into the IVC to prevent PE.…”

Section: Discussionmentioning

confidence: 94%

Tumor Thrombectomy Without Bypass for Low-Grade Malignant Tumors Extending into the Inferior Vena Cava: Report of Two Cases

et al. 2006

View full text Add to dashboard Cite

Endometrial stromal sarcoma (ESS) rarely extends into the inferior vena cava (IVC). Two cases of ESS extending into the IVC were encountered. In the first case a low-grade sarcoma and cavography revealed the tumor thrombus to extend to just below the left renal vein from the right internal iliac vein, and the IVC was patent. A tumor thrombectomy was accomplished to prevent pulmonary embolism (PE) and to achieve a good prognosis. The second case was also a low-grade sarcoma. Abdominal computed tomography scanning revealed a large thrombus extending into the IVC just below the hepatic vein. A tumor thrombectomy with an IVC resection was performed. The postoperative course was uneventful for both cases. Aggressive surgical treatment is thus recommended to excise a tumor thrombus with or without an IVC resection in patients with ESS of low-grade malignancy extending into the IVC to prevent sudden death due to PE.

show abstract

“…Although there are reports that such maneuvers do not lead to significant hemodynamic compromise, 7 we believe that profound hypotension may develop due to interruption of venous return to the heart. This was noted by many investigators and 8,9 and circumvented by the use of intraoperative venovenous bypass from femoral to axillary vein. Few others have tried to avoid complexities associated with complete cross-clamping of the IVC by using selective partial clamping of the suprarenal aorta to maintain systolic blood pressure at or below 100 mm Hg.…”

Section: Discussionmentioning

confidence: 98%

Novel Use of Capturex Device and Reliant Balloon for Inferior Vena Cava Tumor Thrombectomy: A Case Report and Review of Literature

Samarakoon

Kai

et al. 2019

Vasc Endovascular Surg

View full text Add to dashboard Cite

Introduction: Most common tumor extending into the inferior vena cava (IVC) are renal carcinomas, such extension have been noted in nearly one-fifth of tumors. Tumor thrombectomy improves the prognosis of patients including those with extension of tumor as far as supra hepatic vena cava. In contrast, if radical nephrectomy is performed as the sole procedure, the prognosis is reduced drastically. Case Presentation: We present a case of a 42-year-old male who presented to us with renal cell carcinoma with tumor thrombus extending to IVC. We performed a hybrid endovascular and open procedure using novel surgical techniques to obtain proximal vena caval control and to remove the tumor thrombus—Capturex filter which was placed endovascularly 1 cm above the thrombus via the right internal jugular vein and reliant balloon was placed above the capturex below the hepatic veins. At this position, when the reliant balloon was inflated, it acted as a retro hepatic IVC control. Following vascular control, we proceeded to tumor thrombectomy and radical nephrectomy using transperitoneal approach. Patient made an uneventful recovery and was subsequently referred for medical oncology service for consideration of targeted therapy. Detailed description of the procedure is followed by the discussion of the literature.

show abstract

Venous Bypass and Filtration during Nephrectomy for Renal Carcinoma with Tumour Thrombus in the Retrohepatic Cava

Cited by 12 publications

References 11 publications

Renal cell carcinoma invading the hepatic veins

Renal cell carcinoma invading the hepatic veins

Tumor Thrombectomy Without Bypass for Low-Grade Malignant Tumors Extending into the Inferior Vena Cava: Report of Two Cases

Novel Use of Capturex Device and Reliant Balloon for Inferior Vena Cava Tumor Thrombectomy: A Case Report and Review of Literature

Contact Info

Product

Resources

About