Key result
TEE-guided endoluminal IVC occlusion achieves 100% success with no peri-operative mortality for advanced thrombus.
Why the study?
Does endoluminal occlusion of the IVC with TEE monitoring safely facilitate thrombectomy in patients with RCC and level II/III caval thrombus?
Observational (n=13)
Does endoluminal occlusion of the IVC with TEE monitoring safely facilitate thrombectomy in patients with RCC and level II/III caval thrombus?
Endoluminal occlusion of the IVC with TEE monitoring is a safe and reliable technique for managing level II and III caval thrombi in RCC, avoiding extensive surgical dissection.
Authors
No takes yet. Share an insight, caveat, or question.
Supports feasibility in small RCC series; hypothesis-generating and should not yet change practice.
Zini et al. (2006) conducted an observational in Renal cell carcinoma with retrohepatic or suprahepatic caval tumour thrombus (n=13). Endoluminal occlusion of the inferior vena cava with transoesophageal echocardiography monitoring was evaluated on Operative duration, peri-operative bleeding, and complications. Endoluminal occlusion of the inferior vena cava with TEE monitoring was successful in all 13 patients with level II or III thrombus, with no peri-operative mortality.
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