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Cardiovascular Evaluation before Circulatory Arrest for Removal of Vena Caval Extension of Renal Carcinoma

1989; Lippincott Williams & Wilkins; Volume: 141; Issue: 6 Linguagem: Inglês

10.1016/s0022-5347(17)41288-2

1527-3792

John A. Belis, Walter E. Pae, Thomas J. Rohner, John L. Myers, Brian L. Thiele, G. Scott Wickey, Donald E. Martin,

Renal and Vascular Pathologies

No AccessJournal of Urology1 Jun 1989Cardiovascular Evaluation before Circulatory Arrest for Removal of Vena Caval Extension of Renal Carcinoma John A. Belis, Walter E. Pae, Thomas J. Rohner, John L. Myers, Brian L. Thiele, G. Scott Wickey, and Donald E. Martin John A. BelisJohn A. Belis , Walter E. PaeWalter E. Pae , Thomas J. RohnerThomas J. Rohner , John L. MyersJohn L. Myers , Brian L. ThieleBrian L. Thiele , G. Scott WickeyG. Scott Wickey , and Donald E. MartinDonald E. Martin View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)41288-2AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The use of cardiopulmonary bypass, deep hypothermia and circulatory arrest has decreased the risks of hemorrhage, tumor embolization, incomplete thrombus resection, and warm hepatic and renal ischemia associated with resection of renal cell carcinoma extending into the inferior vena cava above the hepatic veins. Patients about to undergo this operation frequently have significant coronary artery and carotid artery disease, and are at risk for perioperative myocardial infarction and stroke. Preoperative evaluation of the coronary artery and carotid artery circulation by coronary angiography, duplex carotid artery scan and digital subtraction carotid angiography is recommended. Depending upon the severity and location of the cardiovascular disease a sequential or simultaneous operation may be performed. This surgical approach can be used in selected patients to facilitate complete tumor thrombectomy with a low operative risk. © 1989 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByBELIS J, LEVINSON M and PAE W (2018) COMPLETE RADICAL NEPHRECTOMY AND VENA CAVAL THROMBECTOMY DURING CIRCULATORY ARRESTJournal of Urology, VOL. 163, NO. 2, (434-436), Online publication date: 1-Feb-2000.SIGMAN D, HASNAIN J, DEL PIZZO J and SKLAR G (2018) REAL-TIME TRANSESOPHAGEAL ECHOCARDIOGRAPHY FOR INTRAOPERATIVE SURVEILLANCE OF PATIENTS WITH RENAL CELL CARCINOMA AND VENA CAVAL EXTENSION UNDERGOING RADICAL NEPHRECTOMYJournal of Urology, VOL. 161, NO. 1, (36-38), Online publication date: 1-Jan-1999. Volume 141Issue 6June 1989Page: 1302-1307 Advertisement Copyright & Permissions© 1989 by The American Urological Association Education and Research, Inc.MetricsAuthor Information John A. Belis More articles by this author Walter E. Pae More articles by this author Thomas J. Rohner More articles by this author John L. Myers More articles by this author Brian L. Thiele More articles by this author G. Scott Wickey More articles by this author Donald E. Martin More articles by this author Expand All Advertisement PDF DownloadLoading ...