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January 1, 1988The Journal of Urology

Resection of Large Inferior Vena Caval Thrombi from Renal Cell Carcinoma with the Use of Circulatory Arrest

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Why the study?

Does the use of circulatory arrest improve the safety and success of resecting large inferior vena caval thrombi from renal cell carcinoma?

Population

18 patients with renal cell carcinoma extending into the inferior vena cava above the level of the hepatic…

Design

Case_series

Follow-up

short followup

Authors

JMJames E. MontieAstraZeneca (United Kingdom)CJChloe JacksonDCDelos M. CosgroveGoethe University Frankfurt

Discussion

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Implication

Hypothesis-generating for circulatory arrest in RCC IVC thrombus resection; prospective comparative trials needed before adoption.

Structured PICO

Does the use of circulatory arrest improve the safety and success of resecting large inferior vena caval thrombi from renal cell carcinoma?

P
Population
18 patients with renal cell carcinoma extending into the inferior vena cava above the level of the hepatic veins, operated on with the intent of using circulatory arrest during radical nephrectomy and inferior vena caval thrombectomy.
I
Intervention
Circulatory arrest during radical nephrectomy and inferior vena caval thrombectomy.
O
Outcome
Successful resection of the tumor and thrombus.hard clinical

The use of circulatory arrest during resection of large inferior vena caval thrombi from renal cell carcinoma allows for controlled tumor resection, potentially reducing massive blood loss and major vascular injury.

Cite This Study

Montie et al. (1988) studied this question.

synapsesocial.com/papers/6a8979f1e2cdaa7909622396https://doi.org/10.1016/s0022-5347(17)42279-8
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Also Consider

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

  1. 1Intraoperative Management of Renal Cell Carcinoma with Supradiaphragmatic Caval Extension1979 · 65 citations
  2. 2A New Technique for Management of Renal Cell Carcinoma Involving the Right Atrium: Hypothermia and Cardiac Arrest1984 · 134 citations
  3. 3Extension of Renal Cell Carcinoma into the Vena Cava: Clinical Review and Surgical Approach1986 · 103 citations
  4. 4Bleeding after Cardiopulmonary Bypass1986 · 298 citations
  5. 5Removal of Renal Cell Carcinoma Extending into the Right Atrium using Cardiopulmonary Bypass, Profound Hypothermia and Circulatory Arrest1984 · 62 citations