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Review
. 2022 May;23(5):67-73.
doi: 10.1007/s11934-022-01092-y. Epub 2022 Mar 14.

Intravascular Ultrasound for the Evaluation and Management of Retroperitoneal, Genitourinary Malignancies

Stephen Leahy  1 , Andrew M Fang  2 , Charles Banks  3 , William F Gaillard  3 , Adam W Beck  3 , Charles C Peyton  4
Affiliations
Review

Intravascular Ultrasound for the Evaluation and Management of Retroperitoneal, Genitourinary Malignancies

Stephen Leahy et al. Curr Urol Rep. 2022 May.

Abstract

Purpose of review: Herein we provide a review of intravascular ultrasound (IVUS) and its ability to assist in the evaluation and surgical management of advanced retroperitoneal, genitourinary tumors.

Recent findings: Advanced retroperitoneal tumors such as advanced renal cell carcinoma, bulky retroperitoneal lymphadenopathy associated with advanced testicular carcinoma, large adrenal tumors, and retroperitoneal sarcomas can invade, compress, or distort vascular anatomy making surgical resection challenging and high risk. Intravascular ultrasonography is commonly used by vascular and cardiothoracic surgery to provide a real time assessment of vascular invasion, compression, and aberrant anatomy to assist with pre-operative and/or intraoperative decision-making. However, the application of this technology to assist with cancer surgery has been limited. The use of intravascular ultrasound prior to radical, extirpative, retroperitoneal surgery involving large vessels can aid in the planning and execution of such challenging operations.

Keywords: Intraluminal ultrasound; Intravascular ultrasound; Tumor thrombus; Vascular invasion.

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