Technique of cavoatrial tumor thrombectomy without cardiopulmonary by-pass
ABSTRACT Introduction Open surgery for tumor thrombi in atria is very challenging and are associated with significant morbidity and mortality rates. Here, we explore safety of foleys catheter assisted-technique, obviating the need for open surgery. Material and Methods We performed Radical nephr...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Urologia
|
| Series: | International Brazilian Journal of Urology |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000400677&lng=en&tlng=en |
| _version_ | 1818063216616407040 |
|---|---|
| author | Bhushan Patil Nikhar Jain S. K. Patwardhan Amit Bellurkar |
| author_facet | Bhushan Patil Nikhar Jain S. K. Patwardhan Amit Bellurkar |
| author_sort | Bhushan Patil |
| collection | DOAJ |
| description | ABSTRACT Introduction Open surgery for tumor thrombi in atria is very challenging and are associated with significant morbidity and mortality rates. Here, we explore safety of foleys catheter assisted-technique, obviating the need for open surgery. Material and Methods We performed Radical nephrectomy via the midlineincision for renal cell carcinoma with tumor thrombus extending into the right atrium. CTVS team was kept in standby all the time. Intra-operative ECHO was used for monitoring any migration of thrombi into pulmonary. Vessels. Results Mean duration of surgery was roughly 4 hours. The time of total IVC occlusion was 2 minutes. The total blood loss was 2350 ml. Intraoperative ECHO showed complete removal of tumor thrombi. Conclusions This procedure can be performed in high risk patients with solitary large tumor thrombi. |
| first_indexed | 2024-12-10T14:16:35Z |
| format | Article |
| id | doaj.art-2af54d6106a54956ae4875fdc97b8c89 |
| institution | Directory Open Access Journal |
| issn | 1677-5538 1677-6119 |
| language | English |
| last_indexed | 2024-12-10T14:16:35Z |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-2af54d6106a54956ae4875fdc97b8c892022-12-22T01:45:19ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-611946467767710.1590/s1677-5538.ibju.2019.0076S1677-55382020000400677Technique of cavoatrial tumor thrombectomy without cardiopulmonary by-passBhushan PatilNikhar JainS. K. PatwardhanAmit BellurkarABSTRACT Introduction Open surgery for tumor thrombi in atria is very challenging and are associated with significant morbidity and mortality rates. Here, we explore safety of foleys catheter assisted-technique, obviating the need for open surgery. Material and Methods We performed Radical nephrectomy via the midlineincision for renal cell carcinoma with tumor thrombus extending into the right atrium. CTVS team was kept in standby all the time. Intra-operative ECHO was used for monitoring any migration of thrombi into pulmonary. Vessels. Results Mean duration of surgery was roughly 4 hours. The time of total IVC occlusion was 2 minutes. The total blood loss was 2350 ml. Intraoperative ECHO showed complete removal of tumor thrombi. Conclusions This procedure can be performed in high risk patients with solitary large tumor thrombi.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000400677&lng=en&tlng=en |
| spellingShingle | Bhushan Patil Nikhar Jain S. K. Patwardhan Amit Bellurkar Technique of cavoatrial tumor thrombectomy without cardiopulmonary by-pass International Brazilian Journal of Urology |
| title | Technique of cavoatrial tumor thrombectomy without cardiopulmonary by-pass |
| title_full | Technique of cavoatrial tumor thrombectomy without cardiopulmonary by-pass |
| title_fullStr | Technique of cavoatrial tumor thrombectomy without cardiopulmonary by-pass |
| title_full_unstemmed | Technique of cavoatrial tumor thrombectomy without cardiopulmonary by-pass |
| title_short | Technique of cavoatrial tumor thrombectomy without cardiopulmonary by-pass |
| title_sort | technique of cavoatrial tumor thrombectomy without cardiopulmonary by pass |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000400677&lng=en&tlng=en |
| work_keys_str_mv | AT bhushanpatil techniqueofcavoatrialtumorthrombectomywithoutcardiopulmonarybypass AT nikharjain techniqueofcavoatrialtumorthrombectomywithoutcardiopulmonarybypass AT skpatwardhan techniqueofcavoatrialtumorthrombectomywithoutcardiopulmonarybypass AT amitbellurkar techniqueofcavoatrialtumorthrombectomywithoutcardiopulmonarybypass |