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June 1, 1989The Journal of Urology

Cardiovascular Evaluation before Circulatory Arrest for Removal of Vena Caval Extension of Renal Carcinoma

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Why the study?

Does preoperative cardiovascular evaluation improve operative risk in patients undergoing resection of renal cell carcinoma extending into the inferior vena cava?

Population

Patients about to undergo resection of renal cell carcinoma extending into the inferior vena cava above the…

Design

Review

Authors

JBJohn A. BelisPennsylvania State UniversityWPWalter E. PaeHershey (United States)TRThomas J. RohnerBern University of Applied Sciences

Discussion

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Implication

May support preoperative vascular screening before renal cell carcinoma thrombectomy; leaves open need for prospective validation.

Structured PICO

Does preoperative cardiovascular evaluation improve operative risk in patients undergoing resection of renal cell carcinoma extending into the inferior vena cava?

P
Population
Patients about to undergo resection of renal cell carcinoma extending into the inferior vena cava above the hepatic veins using cardiopulmonary bypass, deep hypothermia, and circulatory arrest
I
Intervention
Preoperative evaluation of the coronary artery and carotid artery circulation by coronary angiography, duplex carotid artery scan, and digital subtraction carotid angiography
O
Outcome
Operative risk and complete tumor thrombectomy

Preoperative cardiovascular evaluation is recommended to mitigate perioperative risks in patients undergoing complex renal cell carcinoma resection with circulatory arrest.

Cite This Study

Belis et al. (1989) studied this question.

synapsesocial.com/papers/6a8979f1e2cdaa7909622392https://doi.org/10.1016/s0022-5347(17)41288-2
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Resection of Large Inferior Vena Caval Thrombi from Renal Cell Carcinoma with the Use of Circulatory Arrest1988 · 58 citations
  2. 2Intraoperative Management of Renal Cell Carcinoma with Supradiaphragmatic Caval Extension1979 · 65 citations
  3. 3Surgical Resection of Neoplastic Thrombosis in the Inferior Vena Cava by Neoplasms of Renal-Adrenal Tract1983 · 14 citations
  4. 4Extension of Renal Cell Carcinoma into the Vena Cava: Clinical Review and Surgical Approach1986 · 103 citations
  5. 5Preoperative Magnetic Resonance Imaging of Vena Caval Tumor Thrombi: Experience with 5 Cases1987 · 46 citations