Cardiovascular evaluation before circulatory arrest for removal of vena caval extension of renal carcinoma

J. A. Belis, Walter Pae, T. J. Rohner, John Myers, B. L. Thiele, G. S. Wickey, D. E. Martin

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1302-1307
Number of pages6
JournalJournal of Urology
Volume141
Issue number6
DOIs
StatePublished - Jan 1 1989

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Venae Cavae
Carcinoma
Kidney
Carotid Arteries
Coronary Vessels
Thrombectomy
Carotid Artery Diseases
Digital Subtraction Angiography
Hepatic Veins
Inferior Vena Cava
Hypothermia
Coronary Angiography
Cardiopulmonary Bypass
Renal Cell Carcinoma
Neoplasms
Thrombosis
Cardiovascular Diseases
Ischemia
Stroke
Myocardial Infarction

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Belis, J. A. ; Pae, Walter ; Rohner, T. J. ; Myers, John ; Thiele, B. L. ; Wickey, G. S. ; Martin, D. E. / Cardiovascular evaluation before circulatory arrest for removal of vena caval extension of renal carcinoma. In: Journal of Urology. 1989 ; Vol. 141, No. 6. pp. 1302-1307.
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Cardiovascular evaluation before circulatory arrest for removal of vena caval extension of renal carcinoma. / Belis, J. A.; Pae, Walter; Rohner, T. J.; Myers, John; Thiele, B. L.; Wickey, G. S.; Martin, D. E.

In: Journal of Urology, Vol. 141, No. 6, 01.01.1989, p. 1302-1307.

Research output: Contribution to journalArticle

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AU - Belis, J. A.

AU - Pae, Walter

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AB - 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.

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