Key result
Real-time TEE identifies unsuspected, potentially fatal complications in ~15% of radical nephrectomy cases.
Why the study?
Vena caval tumor thrombus in renal cell carcinoma carries significant operative morbidity and mortality, and intraoperative detection of tumor thrombus migration and air embolus is critical.
Does real-time transesophageal echocardiography intraoperatively identify tumor thrombus migration and air embolus in patients with renal cell carcinoma and vena caval extension undergoing radical nephrectomy?
Observational (n=13)
Does real-time transesophageal echocardiography intraoperatively identify tumor thrombus migration and air embolus in patients with renal cell carcinoma and vena caval extension undergoing radical nephrectomy?
Intraoperative real-time TEE is a useful adjunct during radical nephrectomy for renal cell carcinoma with vena caval extension, as it can identify potentially fatal complications like tumor thrombus migration and air embolization.
No takes yet. Share an insight, caveat, or question.
May support intraoperative TEE in high-risk nephrectomy; leaves open whether routine use improves outcomes.
SIGMAN et al. (1999) conducted an observational in Renal cell carcinoma with vena caval extension (n=13). Real-time transesophageal echocardiography was evaluated on Identification of tumor thrombus migration and air embolus. Real-time transesophageal echocardiography identified unsuspected, potentially fatal complications (tumor thrombus migration and air embolus) in 2 of 13 patients undergoing radical nephrectomy.