Perioperative anesthetic management for renal cell carcinoma with vena caval thrombus extending into the right atrium: case series
Abstract Renal cell carcinoma has a tendency for vascular invasion and may extend into the inferior vena cava and even into the right-sided cardiac chambers. It has been reported that nephrectomy with thrombectomy can provide immediate palliation of symptoms with 5-year survival rates of up to 72% i...
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| Veröffentlicht in: | Journal of clinical anesthesia 2017-02, Vol.36, p.39-46 |
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| creator | Morita, Yoshihisa, MD Ayabe, Kengo, MD Nurok, Michael, MBChB, PhD Young, Jerry, MD |
| description | Abstract Renal cell carcinoma has a tendency for vascular invasion and may extend into the inferior vena cava and even into the right-sided cardiac chambers. It has been reported that nephrectomy with thrombectomy can provide immediate palliation of symptoms with 5-year survival rates of up to 72% in the absence of nodal or distant metastasis. The location of the tumor dictates the anesthetic and surgical approach, as extension into the heart often necessitates cardiac surgical involvement. Renal cell carcinoma with vena cava tumor thrombus extending into the right cardiac chamber usually requires cardiopulmonary bypass and occasionally deep hypothermic circulatory arrest for surgical resection, and anesthetic approach should be tailored to each individual case. Thorough preoperative evaluation and the commitment of a multidisciplinary surgery team are indispensable. |
| doi_str_mv | 10.1016/j.jclinane.2016.09.030 |
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It has been reported that nephrectomy with thrombectomy can provide immediate palliation of symptoms with 5-year survival rates of up to 72% in the absence of nodal or distant metastasis. The location of the tumor dictates the anesthetic and surgical approach, as extension into the heart often necessitates cardiac surgical involvement. Renal cell carcinoma with vena cava tumor thrombus extending into the right cardiac chamber usually requires cardiopulmonary bypass and occasionally deep hypothermic circulatory arrest for surgical resection, and anesthetic approach should be tailored to each individual case. Thorough preoperative evaluation and the commitment of a multidisciplinary surgery team are indispensable.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2016.09.030</identifier><identifier>PMID: 28183571</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Anesthesia ; Anesthesia & Perioperative Care ; Anesthesia, General - methods ; Blood clots ; Body mass index ; Carcinoma, Renal Cell - diagnostic imaging ; Carcinoma, Renal Cell - pathology ; Carcinoma, Renal Cell - surgery ; Cardiopulmonary Bypass ; Catheters ; Demographics ; Echocardiography, Transesophageal ; Heart surgery ; Humans ; Kidney cancer ; Kidney Neoplasms - diagnostic imaging ; Kidney Neoplasms - pathology ; Kidney Neoplasms - surgery ; Magnetic Resonance Imaging ; Medical prognosis ; Middle Aged ; Neoplasm Invasiveness ; Neoplastic Cells, Circulating - pathology ; Ostomy ; Pain management ; Pain Medicine ; Patients ; Pulmonary arteries ; Renal cell carcinoma ; Sepsis ; Tee ; Thrombectomy - methods ; Thrombosis - diagnostic imaging ; Thrombosis - pathology ; Thrombosis - surgery ; Tumor thrombus ; Vena Cava, Inferior - diagnostic imaging ; Vena Cava, Inferior - pathology</subject><ispartof>Journal of clinical anesthesia, 2017-02, Vol.36, p.39-46</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Feb 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-4c5d36fbf908bb84ee5bcf9ff224c7e5561055f8084c8d61ee0f23dae9234a0a3</citedby><cites>FETCH-LOGICAL-c484t-4c5d36fbf908bb84ee5bcf9ff224c7e5561055f8084c8d61ee0f23dae9234a0a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2025326643?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986,64374,64376,64378,72230</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28183571$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morita, Yoshihisa, MD</creatorcontrib><creatorcontrib>Ayabe, Kengo, MD</creatorcontrib><creatorcontrib>Nurok, Michael, MBChB, PhD</creatorcontrib><creatorcontrib>Young, Jerry, MD</creatorcontrib><title>Perioperative anesthetic management for renal cell carcinoma with vena caval thrombus extending into the right atrium: case series</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>Abstract Renal cell carcinoma has a tendency for vascular invasion and may extend into the inferior vena cava and even into the right-sided cardiac chambers. It has been reported that nephrectomy with thrombectomy can provide immediate palliation of symptoms with 5-year survival rates of up to 72% in the absence of nodal or distant metastasis. The location of the tumor dictates the anesthetic and surgical approach, as extension into the heart often necessitates cardiac surgical involvement. Renal cell carcinoma with vena cava tumor thrombus extending into the right cardiac chamber usually requires cardiopulmonary bypass and occasionally deep hypothermic circulatory arrest for surgical resection, and anesthetic approach should be tailored to each individual case. Thorough preoperative evaluation and the commitment of a multidisciplinary surgery team are indispensable.</description><subject>Aged</subject><subject>Anesthesia</subject><subject>Anesthesia & Perioperative Care</subject><subject>Anesthesia, General - methods</subject><subject>Blood clots</subject><subject>Body mass index</subject><subject>Carcinoma, Renal Cell - diagnostic imaging</subject><subject>Carcinoma, Renal Cell - pathology</subject><subject>Carcinoma, Renal Cell - surgery</subject><subject>Cardiopulmonary Bypass</subject><subject>Catheters</subject><subject>Demographics</subject><subject>Echocardiography, Transesophageal</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Kidney cancer</subject><subject>Kidney Neoplasms - diagnostic imaging</subject><subject>Kidney Neoplasms - pathology</subject><subject>Kidney Neoplasms - surgery</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical prognosis</subject><subject>Middle Aged</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplastic Cells, Circulating - pathology</subject><subject>Ostomy</subject><subject>Pain management</subject><subject>Pain Medicine</subject><subject>Patients</subject><subject>Pulmonary arteries</subject><subject>Renal cell carcinoma</subject><subject>Sepsis</subject><subject>Tee</subject><subject>Thrombectomy - methods</subject><subject>Thrombosis - diagnostic imaging</subject><subject>Thrombosis - pathology</subject><subject>Thrombosis - surgery</subject><subject>Tumor thrombus</subject><subject>Vena Cava, Inferior - diagnostic imaging</subject><subject>Vena Cava, Inferior - pathology</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk1v1DAQhiMEokvhL1SWuHDZZfyVdTggUMWXVAkk4Gw5zmTXIR-L7Sz0yi9nom176AUutjzz-B3NvFMUFxw2HHj5stt0vg-jG3Ej6L2BagMSHhQrbrZyrbSoHhYrqLRYG27grHiSUgcAlOCPizNBQam3fFX8-YIxTAeMLocjMtJLeY85eDa40e1wwDGzdoos4uh65rGnw0Ufxmlw7FfIe3akDMWOlM77OA31nBj-zjg2YdyxMOaJ4shi2O0zczmGeXhFfEKWqDamp8Wj1vUJn93c58X39---XX5cX33-8Ony7dXaK6PyWnndyLKt2wpMXRuFqGvfVm0rhPJb1LrkoHVrwChvmpIjQitk47ASUjlw8rx4cdI9xOnnTH3aIaSlIWp6mpOlyQkjSlHBf6DlVivBK0Xo83toN82RZpWsAKGlKEsliSpPlI9TShFbe4hhcPHacrCLobazt4baxVALlSVD6ePFjfxcD9jcfbt1kIA3JwBpdMeA0SYfcPTYhIg-22YK_67x-p7EQgXv-h94jemuH26TsGC_Lmu1bBUvJRihjPwLwqrLoQ</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Morita, Yoshihisa, MD</creator><creator>Ayabe, Kengo, MD</creator><creator>Nurok, Michael, MBChB, PhD</creator><creator>Young, Jerry, MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7QO</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20170201</creationdate><title>Perioperative anesthetic management for renal cell carcinoma with vena caval thrombus extending into the right atrium: case series</title><author>Morita, Yoshihisa, MD ; Ayabe, Kengo, MD ; Nurok, Michael, MBChB, PhD ; Young, Jerry, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-4c5d36fbf908bb84ee5bcf9ff224c7e5561055f8084c8d61ee0f23dae9234a0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Anesthesia</topic><topic>Anesthesia & Perioperative Care</topic><topic>Anesthesia, General - methods</topic><topic>Blood clots</topic><topic>Body mass index</topic><topic>Carcinoma, Renal Cell - diagnostic imaging</topic><topic>Carcinoma, Renal Cell - pathology</topic><topic>Carcinoma, Renal Cell - surgery</topic><topic>Cardiopulmonary Bypass</topic><topic>Catheters</topic><topic>Demographics</topic><topic>Echocardiography, Transesophageal</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Kidney cancer</topic><topic>Kidney Neoplasms - diagnostic imaging</topic><topic>Kidney Neoplasms - pathology</topic><topic>Kidney Neoplasms - surgery</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical prognosis</topic><topic>Middle Aged</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplastic Cells, Circulating - pathology</topic><topic>Ostomy</topic><topic>Pain management</topic><topic>Pain Medicine</topic><topic>Patients</topic><topic>Pulmonary arteries</topic><topic>Renal cell carcinoma</topic><topic>Sepsis</topic><topic>Tee</topic><topic>Thrombectomy - methods</topic><topic>Thrombosis - diagnostic imaging</topic><topic>Thrombosis - pathology</topic><topic>Thrombosis - surgery</topic><topic>Tumor thrombus</topic><topic>Vena Cava, Inferior - diagnostic imaging</topic><topic>Vena Cava, Inferior - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morita, Yoshihisa, MD</creatorcontrib><creatorcontrib>Ayabe, Kengo, MD</creatorcontrib><creatorcontrib>Nurok, Michael, MBChB, PhD</creatorcontrib><creatorcontrib>Young, Jerry, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - 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It has been reported that nephrectomy with thrombectomy can provide immediate palliation of symptoms with 5-year survival rates of up to 72% in the absence of nodal or distant metastasis. The location of the tumor dictates the anesthetic and surgical approach, as extension into the heart often necessitates cardiac surgical involvement. Renal cell carcinoma with vena cava tumor thrombus extending into the right cardiac chamber usually requires cardiopulmonary bypass and occasionally deep hypothermic circulatory arrest for surgical resection, and anesthetic approach should be tailored to each individual case. Thorough preoperative evaluation and the commitment of a multidisciplinary surgery team are indispensable.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28183571</pmid><doi>10.1016/j.jclinane.2016.09.030</doi><tpages>8</tpages></addata></record> |
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| subjects | Aged Anesthesia Anesthesia & Perioperative Care Anesthesia, General - methods Blood clots Body mass index Carcinoma, Renal Cell - diagnostic imaging Carcinoma, Renal Cell - pathology Carcinoma, Renal Cell - surgery Cardiopulmonary Bypass Catheters Demographics Echocardiography, Transesophageal Heart surgery Humans Kidney cancer Kidney Neoplasms - diagnostic imaging Kidney Neoplasms - pathology Kidney Neoplasms - surgery Magnetic Resonance Imaging Medical prognosis Middle Aged Neoplasm Invasiveness Neoplastic Cells, Circulating - pathology Ostomy Pain management Pain Medicine Patients Pulmonary arteries Renal cell carcinoma Sepsis Tee Thrombectomy - methods Thrombosis - diagnostic imaging Thrombosis - pathology Thrombosis - surgery Tumor thrombus Vena Cava, Inferior - diagnostic imaging Vena Cava, Inferior - pathology |
| title | Perioperative anesthetic management for renal cell carcinoma with vena caval thrombus extending into the right atrium: case series |
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