Nephro-Urology Monthly

Published by: Kowsar

Supradiaphragmatic Inferior Vena Caval Thrombectomy Without Cardiopulmonary Bypass: A Case Series at a Single Center

Mohammad Soleimani 1 , Reza Mohammadi 1 , Navid Masoumi 1 , * and Mohammad Reza Safarinejad 2
Authors Information
1 Department of Urology, Shahid Modarres Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
2 Clinical Center for Urological Disease Diagnosis and Private Clinic Specializing in Urological and Andrological Genetics, Tehran, IR Iran
Article information
  • Nephro-Urology Monthly: September 01, 2016, 8 (5); e39726
  • Published Online: July 31, 2016
  • Article Type: Case Report
  • Received: June 5, 2016
  • Accepted: June 18, 2016
  • DOI: 10.5812/numonthly.39726

To Cite: Soleimani M, Mohammadi R, Masoumi N, Safarinejad M R. Supradiaphragmatic Inferior Vena Caval Thrombectomy Without Cardiopulmonary Bypass: A Case Series at a Single Center, Nephro-Urol Mon. 2016 ; 8(5):e39726. doi: 10.5812/numonthly.39726.

Copyright © 2016, Nephrology and Urology Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Introduction
2. Case Presentation
3. Discussion
  • 1. Kulkarni J, Jadhav Y, Valsangkar RS. IVC Thrombectomy in Renal Cell Carcinoma-Analysis of Out Come Data of 100 Patients and Review of Literature. Indian J Surg Oncol. 2012; 3(2): 107-13[DOI][PubMed]
  • 2. Pouliot F, Shuch B, Larochelle JC, Pantuck A, Belldegrun AS. Contemporary management of renal tumors with venous tumor thrombus. J Urol. 2010; 184(3): 833-41[DOI][PubMed]
  • 3. Nesbitt JC, Soltero ER, Dinney CP, Walsh GL, Schrump DS, Swanson DA, et al. Surgical management of renal cell carcinoma with inferior vena cava tumor thrombus. Ann Thorac Surg. 1997; 63(6): 1592-600[PubMed]
  • 4. Patil MB, Montez J, Loh-Doyle J, Cai J, Skinner EC, Schuckman A, et al. Level III-IV inferior vena caval thrombectomy without cardiopulmonary bypass: long-term experience with intrapericardial control. J Urol. 2014; 192(3): 682-8[DOI][PubMed]
  • 5. Zisman A, Wieder JA, Pantuck AJ, Chao DH, Dorey F, Said JW, et al. Renal cell carcinoma with tumor thrombus extension: biology, role of nephrectomy and response to immunotherapy. J Urol. 2003; 169(3): 909-16[DOI][PubMed]
  • 6. Kaag MG, Toyen C, Russo P, Cronin A, Thompson RH, Schiff J, et al. Radical nephrectomy with vena caval thrombectomy: a contemporary experience. BJU Int. 2011; 107(9): 1386-93[DOI][PubMed]
  • 7. Ciancio G, Livingstone AS, Soloway M. Surgical management of renal cell carcinoma with tumor thrombus in the renal and inferior vena cava: the University of Miami experience in using liver transplantation techniques. Eur Urol. 2007; 51(4): 988-94[DOI][PubMed]
  • 8. Granberg CF, Boorjian SA, Schaff HV, Orszulak TA, Leibovich BC, Lohse CM, et al. Surgical management, complications, and outcome of radical nephrectomy with inferior vena cava tumor thrombectomy facilitated by vascular bypass. Urology. 2008; 72(1): 148-52[DOI][PubMed]
  • 9. Parekh DJ, Cookson MS, Chapman W, Harrell FJ, Wells N, Chang SS, et al. Renal cell carcinoma with renal vein and inferior vena caval involvement: clinicopathological features, surgical techniques and outcomes. J Urol. 2005; 173(6): 1897-902[DOI][PubMed]
  • 10. Gorin MA, Gonzalez J, Garcia-Roig M, Ciancio G. Transplantation techniques for the resection of renal cell carcinoma with tumor thrombus: a technical description and review. Urol Oncol. 2013; 31(8): 1780-7[DOI][PubMed]
  • 11. Zini L, Koussa M, Haulon S, Decoene C, Fantoni JC, Biserte J, et al. Results of endoluminal occlusion of the inferior vena cava during radical nephrectomy and thrombectomy. Eur Urol. 2008; 54(4): 778-83[DOI][PubMed]
  • 12. Abel EJ, Thompson RH, Margulis V, Heckman JE, Merril MM, Darwish OM, et al. Perioperative outcomes following surgical resection of renal cell carcinoma with inferior vena cava thrombus extending above the hepatic veins: a contemporary multicenter experience. Eur Urol. 2014; 66(3): 584-92[DOI][PubMed]
  • 13. Skinner DG, Pritchett TR, Lieskovsky G, Boyd SD, Stiles QR. Vena caval involvement by renal cell carcinoma. Surgical resection provides meaningful long-term survival. Ann Surg. 1989; 210(3): 387-92[PubMed]
  • 14. Glazer AA, Novick AC. Long-term followup after surgical treatment for renal cell carcinoma extending into the right atrium. J Urol. 1996; 155(2): 448-50[PubMed]
  • 15. Ciancio G, Shirodkar SP, Soloway MS, Livingstone AS, Barron M, Salerno TA. Renal carcinoma with supradiaphragmatic tumor thrombus: avoiding sternotomy and cardiopulmonary bypass. Ann Thorac Surg. 2010; 89(2): 505-10[DOI][PubMed]
  • 16. Stewart JR, Carey JA, McDougal WS, Merrill WH, Koch MO, Bender HW. Cavoatrial tumor thrombectomy using cardiopulmonary bypass without circulatory arrest. Ann Thorac Surg. 1991; 151: 717-22
  • 17. Langenburg SE, Blackbourne LH, Sperling JW, Buchanan SA, Mauney MC, Kron IL, et al. Management of renal tumors involving the inferior vena cava. J Vasc Surg. 1994; 20(3): 385-8[PubMed]
  • 18. Sobczynski R, Golabek T, Przydacz M, Wiatr T, Bukowczan J, Sadowski J, et al. Modified technique of cavoatrial tumor thrombectomy without cardiopulmonary by-pass and hypothermic circulatory arrest: a preliminary report. Cent European J Urol. 2015; 68(3): 311-7[DOI][PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments