Novel Use of AngioVac System to Prevent Pulmonary Embolism during Radical Nephrectomy with Inferior Vena Cava Thrombectomy

Robert J Brown; Matthew A Uhlman; Joss D Fernandez; Thomas Collins; James A Brown

doi:10.1159/000343550

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Novel Use of AngioVac System to Prevent Pulmonary Embolism during Radical Nephrectomy with Inferior Vena Cava Thrombectomy

Journal article

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Novel Use of AngioVac System to Prevent Pulmonary Embolism during Radical Nephrectomy with Inferior Vena Cava Thrombectomy

Robert J Brown, Matthew A Uhlman, Joss D Fernandez, Thomas Collins and James A Brown

Current urology, Vol.7(1), pp.34-36

08/2013

DOI: 10.1159/000343550

PMCID: PMC3783293

PMID: 24917754

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Abstract

Venous tumor thrombus occurs in 5-10% of patients with renal cell carcinoma. Surgical excision offers the best chance for survival, but is technically difficult. Risk of pulmonary embolism from venous thrombus or tumor thrombus is high, especially with tumors located higher in the inferior vena cava. Cardiopulmonary bypass may be used when a tumor extends above the diaphragm, but carries significant risk. We present an 86-year-old woman with a 7 cm renal mass extending into the inferior vena cava just below the confluence of the hepatic vessels. Prior to surgery she was found to have increasing pulmonary embolisms despite appropriate anticoagulation. Intraoperatively, the AngioVac aspiration system was utilized to prevent further pulmonary embolism. This is the first reported case of the use of this system during radical nephrectomy.

Pulmonary embolism

Nephrectomy

Venous thrombus

Surgical Technique

Vena cava

Details

Title: Subtitle: Novel Use of AngioVac System to Prevent Pulmonary Embolism during Radical Nephrectomy with Inferior Vena Cava Thrombectomy
Creators: Robert J Brown - Department of Urology, University of Iowa, Iowa City, Iowa, USA
Matthew A Uhlman - Department of Urology, University of Iowa, Iowa City, Iowa, USA
Joss D Fernandez - Department of Cardiothoracic Surgery, University of Iowa, Iowa City, Iowa, USA
Thomas Collins - Organ Transplant Center, University of Iowa, Iowa City, Iowa, USA
James A Brown - Department of Urology, University of Iowa, Iowa City, Iowa, USA
Resource Type: Journal article
Publication Details: Current urology, Vol.7(1), pp.34-36
DOI: 10.1159/000343550
PMID: 24917754
PMCID: PMC3783293
NLM abbreviation: Curr Urol
ISSN: 1661-7649
eISSN: 1661-7657
Publisher: S. Karger AG
Language: English
Date published: 08/2013
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Urology
Record Identifier: 9984051729902771

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