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Can J Urol 2022 Jun;29(3):11187-11189

Section of Urology and Renal Transplantation, Virginia Mason Franciscan Health, Seattle, Washington, USA.

A 71-year-old woman with history of asthma presented with 2 months history of shortness of breath; on imaging an incidental left renal mass was noted. Subsequent renal protocol CT was obtained that showed a 4.5 cm left upper pole exophytic mass with renal vein thrombus extending into the inferior vena cava to the level of the caudate lobe concerning for renal cell carcinoma. Read More

Wiad Lek 2022 ;75(4 pt 2):965-969

UZHHOROD NATIONAL UNIVERSITY, UZHHOROD, UKRAINE.

Objective: The aim: To improve the outcomes of inferior vena cava (IVC) leiomyosarcoma, propose own classification of IVC segments, which correlates with surgical access, methodology, sequence and amount of surgery.

Patients And Methods: Materials and methods: In the period from 1991 to 2021 in the Transcarpathian Regional Clinical Hospital named after A. Novak and in the Transcarpathian Antitumor Center 8 patients with IVC leiomyosarcoma were operated. Read More

BMJ Case Rep 2022 May 24;15(5). Epub 2022 May 24.

Urology Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

An man in his early 40s suffered from end-stage renal disease and underwent living donor renal transplantation. Doppler ultrasonography before surgery showed a normal iliac artery and vein without any thrombus. There was clear evidence of urine production intraoperatively. Read More

J Int Med Res 2022 May;50(5):3000605221100771

Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.

The inferior vena cava (IVC) may develop abnormally because of its complex embryogenesis. An understanding of congenital variants such as duplication of the IVC is essential for clinical interventions, particularly those performed by surgeons and radiologists. We herein describe five patients who were diagnosed with duplication of the IVC by computed tomography or angiography and summarize their imaging and clinical features. Read More

J Cardiothorac Vasc Anesth 2022 Aug 22;36(8 Pt B):3093-3100. Epub 2022 Apr 22.

Department of Anesthesiology & Perioperative Medicine, Mayo Clinic College of Medicine and Science, Rochester, MN. Electronic address:

Objectives: This study examined the characteristics, intraoperative, and postoperative course of patients undergoing inferior vena cava tumor thrombectomy for metastatic renal cell carcinoma.

Design: A single-center case series that reported demographic data and intraoperative and postoperative outcomes for patients with renal cell carcinoma undergoing inferior vena cava thrombectomy.

Setting: This investigation was performed at a large quaternary referral center. Read More

J Radiol Case Rep 2022 Apr 1;16(4):17-23. Epub 2022 Apr 1.

Department of Radiodiagnosis, Maulana Azad Medical College, New Delhi, India.

Massive ovarian edema is an uncommon benign condition affecting young females predominantly those in the child bearing age group and preadolescent girls. Its clinical and radiologic overlap with ovarian neoplasms and torsion which require surgical intervention makes it imperative for the radiologist to consider this entity preoperatively as preserving fertility is vital in this young age group. We report a case of massive ovarian edema, a rare presentation in a patient with inferior vena cava web and consequent Budd Chiari Syndrome, an association previously unreported in literature. Read More

J Vasc Surg Venous Lymphat Disord 2022 05;10(3):797

Cardiovascular Surgery İstanbul Medeniyet University Faculty of Medicine Göztepe Prof. Dr. Süleyman Yalçın City Hospital Istanbul, Türkiye.

Genome Biol 2022 03 31;23(1):87. Epub 2022 Mar 31.

Department of Urology, Peking University Third Hospital, Beijing, 100191, China.

Background: Vascular invasion with tumor thrombus frequently occurs in advanced renal cell carcinoma (RCC). Thrombectomy is one of the most challenging surgeries with high rate of perioperative morbidity and mortality. However, the mechanisms driving tumor thrombus formation are poorly understood which is required for designing effective therapy for eliminating tumor thrombus. Read More

J Coll Physicians Surg Pak 2022 Apr;32(4):550-551

Department of Cardiovascular Surgery, Faculty of Medicine, Namik Kemal University, Tekirdag, Turkey.

Null. Read More

J Vasc Surg Venous Lymphat Disord 2022 Jul 18;10(4):908-915. Epub 2022 Mar 18.

Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.

Objective: In renal cell carcinoma with inferior vena cava (IVC) thrombus, adhesion to, or invasion into, the IVC wall will often increase the level of surgical difficulty and even necessitate resection of the IVC. It will generally be difficult to perform an accurate preoperative assessment using the standard imaging modalities of contrast-enhanced computed tomography and standard magnetic resonance imaging (MRI). Cine MRI is an MRI sequence that captures motion to produce detailed information on both the anatomy and the dynamic motion. Read More

Diagn Interv Imaging 2022 Jun 17;103(6):327-328. Epub 2022 Mar 17.

Université Paris Cité, Faculté de Médecine, Paris 75006, France; Department of Body and Interventional Imaging, Hôpital Cochin, AP-HP, Paris 75014, France.

Int J Urol 2022 06 13;29(6):559-565. Epub 2022 Mar 13.

Department of Urology, Tokyo Women's Medical University, Tokyo, Japan.

Objectives: To compare the perioperative outcomes between thrombectomy first then nephrectomy ("thrombus-first") and vice-versa ("thrombus-last") approaches for patients with renal cell carcinoma and inferior vena cava thrombus.

Methods: We retrospectively evaluated 130 patients who underwent nephrectomy and thrombectomy at two institutions between 1992 and 2020. The cohort was classified into the thrombus-first and thrombus-last groups according to the techniques used. Read More

Sci Rep 2022 03 10;12(1):3903. Epub 2022 Mar 10.

Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, No.1, East Jian She Road, Zhengzhou, 450052, China.

Recanalization of inferior vena cava (IVC) with complete obstruction, old thrombosis or long segmental stenosis/obstruction (complicated IVC) via transfemoral access may fail in patients with Budd-Chiari syndrome (BCS). In this study, 34 consecutive patients with BCS underwent recanalization of complicated IVC occlusion via jugular-femoral venous (JFV) route establishment. BCS with complicated IVC was detected by reviewing preoperative color Doppler ultrasonography or computed tomography (CT) venography, and confirmed by intraoperative venography. Read More

Eur J Vasc Endovasc Surg 2022 04 7;63(4):623-630. Epub 2022 Mar 7.

Houston Methodist DeBakey Heart & Vascular Centre, Houston Methodist Hospital, Houston, TX, USA.

Objective: To develop a large animal model of iliocaval deep venous thrombosis (DVT), which enables development and evaluation of interventional management and existing imaging modalities.

Methods: The experimental protocol consisted of a total endovascular approach. Pigs were percutaneously accessed through the right internal jugular and bilateral femoral veins. Read More

BMJ Case Rep 2022 Feb 28;15(2). Epub 2022 Feb 28.

Department of Vascular Surgery, Mercy University Hospital, Cork, Ireland.

This report describes a unique case of a healthy man in his 30s, who presented with progressive unilateral leg swelling with no common risk factors identified. Two days prior to the swelling he had developed significant abdominal pain following a treadmill exercise session. Ultrasound imaging revealed extensive deep vein thrombosis involving bilateral ileo-femoral venous systems, extending up the inferior vena cava (IVC). Read More

Surgery 2022 Jul 23;172(1):391-396. Epub 2022 Feb 23.

Pediatric Transplant Department, Tianjin First Central Hospital, China; The Key Subject of Tianjin First Central Hospital, China. Electronic address:

Background: Living donor liver transplantation using the left lateral segment of the liver is the most common type of pediatric liver transplantation. An appropriate surgical approach is crucial for decreasing the risk of vascular complications using these grafts with anatomical variations.

Methods: Between January 2017 and December 2020, 631 living donor liver transplantations using left lateral segment grafts were performed at Tianjin First Central Hospital. Read More

Ann R Coll Surg Engl 2022 Jun 17;104(6):e183-e186. Epub 2022 Feb 17.

Postgraduate Institute of Medical Education and Research, Chandigarh, India.

A small renal mass is defined as a tumour <4cm. The standard treatment of choice for small renal masses is partial or radical nephrectomy, depending on the tumour anatomy, and has good overall and cancer-specific survival. Its association with lymph node metastasis and inferior vena cava (IVC) thrombus is very uncommon. Read More

J Obstet Gynaecol Res 2022 Apr 17;48(4):1046-1049. Epub 2022 Feb 17.

Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Tochigi, Japan.

Ovarian vein thrombosis (OVT) usually occurs on the right side in women with underlying conditions such as pelvic diseases and thrombophilia or during the postpartum period. Here, we present a patient with bilateral OVTs without underlying conditions. A 63-year-old woman without remarkable past or family histories complained of mild lower abdominal pain. Read More

Cureus 2022 Jan 9;14(1):e21053. Epub 2022 Jan 9.

Department of Gastroenterology, University General Hospital of Patra, Patra, GRC.

Ectopic varices may frequently occur in the rectum in the context of portal hypertension. Although rectal variceal bleeding is not a frequent bleeding situation, it can be life-threatening unless diagnosed and treated immediately. However, there is no specific treatment strategy established so far. Read More

Urol Oncol 2022 04 8;40(4):166.e9-166.e13. Epub 2022 Feb 8.

University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

Background: Inferior vena cava tumor thrombus (IVC-TT) is a rare yet deadly sequel of renal cell carcinoma (RCC) with limited treatment options. The standard treatment is extirpative surgery, which has high rates of morbidity and mortality. As a result, many patients are unfit or unwilling to undergo surgery and face poor prognosis. Read More

Radiology 2022 05 8;303(2):300-302. Epub 2022 Feb 8.

From the Departments of Radiology, Division of Interventional Radiology (N.X., J.K., R.L., K.R.D.), and Medicine, Divisions of Pulmonary and Critical Care (M.C.), Cardiology (D.S.), and Hematology/Oncology (K.M.), Northwestern University, 676 N St. Clair St, Suite 800, Chicago, IL 60611.

BMC Cancer 2022 Feb 7;22(1):151. Epub 2022 Feb 7.

Faculty of Hepato-Biliary-Pancreatic Surgery, Chinese People's Liberation Army (PLA) General Hospital, Institute of Hepatobiliary Surgery of Chinese PLA, 28 Fuxing Road, Beijing, 100853, China.

Background: The surgical management of Mayo III/IV tumor thrombi is difficult and risky, and robotic surgery is even more difficult. The purpose of this study was to introduce the step-by-step and orderly lowering of the height of inferior vena cava tumor thrombus, which was the core technique of robot operation for Mayo III/IV tumor thrombus.

Method: A total of 18 patients were included in this study. Read More

J Vasc Surg Venous Lymphat Disord 2022 Jul 3;10(4):887-893. Epub 2022 Feb 3.

Division of Vascular Surgery and Endovascular Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Ala. Electronic address:

Background: We investigated the clinical practice and volume trends of inferior vena cava filter (IVCF) usage at a single institution for an extended period and identified the potential factors affecting the clinical decision for placement, follow-up, and retrieval.

Methods: An institutional database was queried for IVCFs placed from 2000 to 2018 using the Current Procedural Terminology codes. The medical records were reviewed to evaluate the demographics, economic status, placement indication, IVCF type, follow-up evaluation for retrieval, and retrieval success rates. Read More

J Vasc Surg Venous Lymphat Disord 2022 Jul 3;10(4):879-886. Epub 2022 Feb 3.

Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, University of Wisconsin School of Medicine and Public Health, Milwaukee, Wis. Electronic address:

Objective: Despite the widespread use of inferior vena cava filters (IVCFs), no large controlled trials have examined the IVCF retrieval rates and clinical events for patients without retrieved IVCFs. We hypothesized that IVCF retrieval success would decrease as the time from placement increased and that the clinical event rates would be more prevalent for those without a retrieved IVCF. We evaluated retrieval success as a function of time and compared the rates of venous thromboembolism and mortality between patients who had undergone IVCF retrieval within 12 months vs patients with unsuccessful IVCF retrieval. Read More

BMJ Open 2022 Jan 31;12(1):e055364. Epub 2022 Jan 31.

Department of Urology, Peking University Third Hospital, Beijing, China

Introduction: Although surgery is currently the first choice for patients with renal cell carcinoma and vena cava tumour thrombus, the surgery is difficult, with many complications, and the prognosis of patients is not ideal. Renal cell carcinoma is not sensitive to traditional radiotherapy, but the development of stereotactic ablative body radiotherapy (SABR) technology with the characteristics of high precision, dose and conformity has made the radiotherapy of renal cell carcinoma reexamined.

Methods And Analysis: STUDY DESIGN: This trial is a single-arm cohort study sponsored by Peking University Third Hospital. Read More

Medicine (Baltimore) 2022 Jan;101(3):e28586

Department of Urology, Taizhou First People's Hospital, Zhejiang Province, China.

Rationale: Renal cell carcinoma (RCC) is the most common type of kidney cancer and is the second most common urologic neoplasm. Vaginal metastasis from RCC is extremely rare clinically.

Patient Concerns: A 56-year-old woman presented with intermittent vaginal bleeding that had persisted for 1 month. Read More

BMJ Case Rep 2022 Jan 20;15(1). Epub 2022 Jan 20.

General Surgery, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

May-Thurner syndrome, an unprovoked form of deep vein thrombosis (DVT), should be kept in mind in case of DVT with no predisposing factors. We present a case of a 37-year-old male with DVT of left lower limb due to May-Thurner syndrome, treated with anticoagulants with a plan of left common iliac vein (LCIV) stenting and inferior vena cava (IVC) filter later. Venous duplex scan showed features suggestive of May-Thurner syndrome. Read More

Angiol Sosud Khir 2021 ;27(4):43-47

Department of Faculty Surgery #1, Institute of Clinical Medicine named after N.V. Sklifosovsky, I.M. Sechenov First Moscow State Medical University of the RF Ministry of Public Health, Moscow, Russia.

Pulmonary embolism ranks third among causes of death from cardiovascular diseases after acute coronary syndrome and impairment cerebral circulation. A factor provoking pulmonary embolism in the majority of cases is thrombosis of deep veins of lower limbs. Presented in the article is a clinical case report concerning treatment of a 35-year-old female patient with acute bilateral phlebothrombosis of internal iliac veins with floatation of thrombotic heads in the inferior vena cava and common iliac vein on the left. Read More

Gan To Kagaku Ryoho 2021 Dec;48(13):2088-2090

Dept. of Surgery, Kashiwa Kousei General Hospital.

For extrahepatic recurrence after primary hepatocellular carcinoma resection, molecular targeted therapy is the first- choice and no consensus is reached on the indication of surgical resection of extrahepatic metastasis. However, when the extrahepatic lesion extends to vena cava, tumor thrombus can cause acute pulmonary embolism that can lead to fatal consequences. Here, we experienced a case of multiple metachronous metastases from hepatocellular carcinoma to thoracic spine and right adrenal invading right kidney with tumor thrombus in the inferior vena cava. Read More

Acta Chir Belg 2022 Jun 27;122(3):151-159. Epub 2022 Jan 27.

Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.

Introduction: The aim of this systematic review and meta-analysis was to evaluate whether the benefits of prophylactic inferior vena cava filters (IVCF) outweigh the risks thereof.

Patients And Methods: PubMed, EMBASE, and Cochrane Library were systematically searched for records published from 1980 to 2018 by two independent researchers (MG, GG). The endpoints of interest were pulmonary embolism (PE) and deep vein thrombosis (DVT) rates. Read More