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Case Reports
. 2021 Sep 22;7(4):691-693.
doi: 10.1016/j.jvscit.2021.08.008. eCollection 2021 Dec.

Single-stage resection with intraoperative filter placement for right renal carcinoma with vena cava extension

Amber Duda  1 , Courtney Hanak  1 , Patrick Wirtz  1 , Amy Lipscomb  1 , Mohi Mitiek  1
Affiliations
Case Reports

Single-stage resection with intraoperative filter placement for right renal carcinoma with vena cava extension

Amber Duda et al. J Vasc Surg Cases Innov Tech. .

Abstract

A unique feature of renal cell carcinoma is the extension of tumor into the inferior vena cava (IVC). We present the case of a 67-year-old man with a right renal mass, renal vein and IVC tumor thrombus, and acute occlusion of the common iliac veins. He underwent right radical nephrectomy, caval thrombectomy, bilateral iliofemoral vein thrombectomies, and intraoperative placement of an infrahepatic IVC filter. Intraoperative IVC filter placement should be considered a viable option for patients undergoing radical nephrectomy with thrombectomy for tumor invasion into the IVC with known lower extremity thrombosis.

Keywords: Case report; Caval thrombus; Inferior vena cava filter; Renal cell carcinoma; Vena cava thrombectomy.

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Figures

Fig 1
Fig 1
Coronal view of magnetic resonance image of abdomen with evidence of inferior vena cava (IVC) extension.
Fig 2
Fig 2
Axial magnetic resonance image of abdomen displaying renal vein and inferior vena cava (IVC) extension.
See this image and copyright information in PMC

References

    1. Lardas M., Stewart F., Scrimgeour D., Hofmann F., Marconi L., Dabestani S. Systematic review of surgical management of nonmetastatic renal cell carcinoma with vena caval thrombus. Eur Urol. 2016;70:265–280. - PubMed
    1. Helfand B.T., Smith N.D., Kozlowski J.M., Eskandari M.K. Vena cava thrombectomy and primary repair after radical nephrectomy for renal cell carcinoma: single-center experience. Ann Vasc Surg. 2011;25:39–43. - PubMed
    1. Young T., Tang H., Hughes R. Vena caval filters for the prevention of pulmonary embolism. Cochrane Database Syst Rev. 2010;2:CD006212. - PMC - PubMed
    1. Blute M.L., Boorjian S.A., Leibovich B.C., Lohse C.M., Frank I., Karnes R.J. Results of inferior vena caval interruption by Greenfield filter, ligation or resection during radical nephrectomy and tumor thrombectomy. J Urol. 2007;178:440–445. - PubMed
    1. Zisman A., Wieder J.A., Pantuck A.J., Chao D.H., Dorey F., Said J.W. Renal cell carcinoma with tumor thrombus extension: biology, role of nephrectomy and response to immunotherapy. J Urol. 2003;169:909–916. - PubMed

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