VC Thrombectomy Articles

SAN DIEGO, CA USA (UroToday.com) - Intra-operative tumor or bland thrombus embolism is a real concern in patients undergoing renal surgery with IVC thrombectomy and can result in mortality or significant morbidity. Dr. Takafumi Yagisawa and colleagues describe potential utility of a temporary intra-operative placement of an IVC filter.

In patients with renal cell carcinoma with tumor thrombus involving the inferior vena cava (IVC), the standard of care remains surgical resection through radical nephrectomy with IVC tumor thrombectomy. Among patients with levels I through IV caval thrombi, management of the IVC at the time of tumor thrombectomy entails varying degrees of reconstruction, ranging from a primary IVC closure to complex vascular reconstruction with either a patch graft or tube interposition graft, to complete resection of a portion of the IVC, often necessitating collaboration the vascular surgery team.