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Medicine (Baltimore) 2020 May;99(22):e20615

Department of Urology.

The aim of the study was to evaluate the potential role of circulating tumor cell (CTC) detection in the surgical assessment of renal cell carcinoma (RCC) patients with thrombi.Nine patients diagnosed with renal mass and thrombi were enrolled from June 2018 to January 2019. Blood samples were collected for CTC detection using SE-iFISH assay. Read More

J Vasc Surg Venous Lymphat Disord 2020 May 25. Epub 2020 May 25.

Divison of Vascular Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, P. R. China. Postal Code: 510080. Electronic address:

Objective: This study aimed to summarize our experience with the diagnosis and treatment of intravenous leiomyomatosis (IVL) involving the inferior vena cava (IVC) or right cardiac chambers.

Methods: This study retrospectively analyzed clinical data from 10 patients diagnosed with IVL involving the IVC or right cardiac chambers between May 2009 and October 2019 at one medical center.

Results: All patients were females aged 35 to 56 years (average, 46. Read More

World J Gastrointest Pathophysiol 2020 Mar;11(1):1-19

Departments of Pharmacology and Pathology, Medical Faculty University of Zagreb, Zagreb 10000, Croatia.

Background: Recently, as a possible therapy resolving solution, pentadecapeptide BPC 157 therapy, has been used in alleviating various vascular occlusion disturbances. BPC 157 was previously reviewed as novel mediator of Robert cytoprotection and endothelium protection in the stomach, and gut-brain axis, beneficial therapy in gastrointestinal tract, with particular reference to vascular recruitment, ulcerative colitis and tumor cachexia, and other tissues healing. Here we raised new hypothesis about BPC 157 therapy in the Budd-Chiari syndrome in rats, rapid bypassing of the suprahepatic inferior caval vein occlusion, and rats recovery with the active and effective pharmacotherapy treatment. Read More

Medicine (Baltimore) 2020 Mar;99(11):e19392

Department of Anesthesiology, Shandong Provincial Hospital Affiliated to Shandong University. Jinan 250021, Shandong Province, China.

Rationale: Renal carcinoma is a common malignant tumor of the urinary system, 4%-10% of which are complicated with tumor thrombi in the renal vein and the inferior vena cava; in about 1% of patients, the inferior vena cava tumor thrombus invades the right atrium. Surgery is the treatment of choice. Real-time monitoring with transesophageal echocardiography (TEE) has been widely used in various operations, including cardiac and non-cardiac operations for congenital heart diseases, coronary diseases, vascular heart diseases, and aorta diseases, etc. Read More

Ann Thorac Surg 2020 Mar 3. Epub 2020 Mar 3.

Inferior vena caval(IVC) filters are used for patients with pulmonary embolism or those with risk of embolization. Here we present a case of a 38-year-old man who underwent placement of an IVC filter because of deep vein thrombosis. The operating arm fractured and embolized to the posteromedial papillary muscle of mitral valve and the posterior inferior wall of the left ventricle through right atrium and atrioventricular septum, leading to large symptomatic mitral and tricuspid insufficiency and pericardial tamponade. Read More

J Cardiothorac Surg 2020 Feb 10;15(1):34. Epub 2020 Feb 10.

Institute MITOVASC CNRS UMR 6015, INSERM 1083, Angers, France.

Background: This study aims to compare the effects of storage solutions commonly used in coronary artery bypass grafting on the vascular reactivity in vein graft interposed in arterial position in syngeneic rats.

Methods: Twenty-seven male Lewis rats were sacrified to sample a vein graft implanted 6 weeks ago into abdominal aorta position. The vein grafts were inferior venae cavae initially pretreated with heparinized saline solution (HS) or autologous heparinized blood (AHB) or our referent solution, GALA. Read More

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):78-80. Epub 2019 Dec 4.

Department of Pediatric Critical Care, Albany Medical Center, Albany, NY, USA.

Superior vena cava (SVC) and inferior vena cava obstructions were once well-documented complications from the Mustard repair for D-transposition of the great arteries (TGA), occurring in 10%-40% patients; however, they are rarely documented with the current, more common arterial switch operation (ASO). Similarly, SVC thrombosis is an uncommon, severe complication following neonatal cardiac surgery. We report a case of persistent SVC thrombosis, SVC syndrome, and chylothorax arising after ASO, refractory to thrombolysis and stent placement. Read More

Georgian Med News 2019 Dec(297):23-30

3Kharkiv Medical Academy of Postgraduate Education, Ukraine.

In most cases RCC with venous extension is an indication for radical nephrectomy. However, in patients with imperative indications for nephron-sparing surgery a kidney resection with thrombectomy in rare situations is possible. We present a surgical technique for nephron-sparing surgery in patients with tumor spreading into the main renal vein. Read More

Vasc Endovascular Surg 2020 Apr 17;54(3):297-300. Epub 2020 Jan 17.

Department of Interventional Radiology, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.

A 23-year-old presenting with an acute history of back pain, leg swelling, and claudication was diagnosed with an extensive iliocaval thrombosis, extending from the popliteal veins into the inferior vena cava (IVC) and left renal vein. He was treated with a combination of endovascular techniques, including EKOS and AngioJet. An underlying congenital IVC stenosis and May-Thurner type iliac vein compression were subsequently treated with venoplasty and stenting. Read More

BJR Case Rep 2019 Dec 15;5(4):20190007. Epub 2019 Nov 15.

St Peter's Hospital, Chertsey, United Kingdom.

Inferior vena cava (IVC) filters are recommended for patients with proximal deep vein thrombosis (DVT) who are not eligible for anticoagulation. Long-dwelling filters are well-known to be associated with the development of IVC thrombosis. Chronic caval occlusion can lead to a severe post-thrombotic syndrome (PTS), with manifestations of chronic venous insufficiency in the lower extremities. Read More

Am Surg 2019 Dec;85(12):e611-e613

Clin Nucl Med 2020 Feb;45(2):e112-e114

From the Department of Nuclear Medicine and Molecular Imaging, Tata Memorial Hospital, Mumbai, India.

Secondary involvement of inferior vena cava is a common presentation in aggressive solid malignancies, especially arising from kidneys, adrenals, and hepatobiliary system, mostly resulting from local infiltration. Rarely, primary tumors are seen arising from vascular tissue. The Ewing family of tumors commonly arises from bone, but there is a high propensity of these tumors to originate from nonosseous sites of mesenchymal cell origin. Read More

Clin Nucl Med 2020 Feb;45(2):e103-e105

Medical Oncology.

Primary Ewing sarcoma/primitive neuroectodermal tumor is a group of rare aggressive tumors in adults derived from neuroectoderm, and primary renal involvement is extremely rare. We describe an F-FDG PET/CT findings of a 28-year-old man who presented with left renal mass with inferior vena cava thrombus, which turned out to be primary Ewing sarcoma on histopathology specimen post left nephrectomy. Read More

Pediatr Blood Cancer 2020 04 26;67(4):e28114. Epub 2019 Dec 26.

Division of Pediatric Hematology/Oncology, McMaster Children's Hospital, McMaster University, Hamilton, Ontario, Canada.

Neonatal inferior vena cava syndrome (IVCS), though uncommon, is associated with significant morbidity and mortality. Information on risk factors, diagnosis, treatment, and outcomes is limited. This review comprised 61 neonates across 33 reports. Read More

Int Braz J Urol 2020 Jan-Feb;46(1):92-100

Department of Ultrasound, Chinese PLA General Hospital, Beijing 100853, China.

Purpose: To evaluate the role of contrast-enhanced ultrasound (CEUS) in differentiating bland thrombus from tumor thrombus of the inferior vena cava (IVC) in patients with renal cell carcinoma (RCC).

Materials And Methods: We retrospectively investigated 30 consecutive patients who underwent robot-assisted radical nephrectomy with IVC thrombectomy and had pathologically confirmed RCC. All patients underwent US and CEUS examination. Read More

J Vasc Surg Venous Lymphat Disord 2020 Jul 14;8(4):538-544.e3. Epub 2019 Dec 14.

Division of Cardiovascular Diseases, Lewis Katz School of Medicine at Temple University, Philadelphia, Pa. Electronic address:

Objective: The objective of this study was to determine the rate of complications of catheter-directed thrombolysis (CDT) in cancer patients with deep venous thrombosis (DVT) compared with anticoagulation therapy alone.

Methods: This observational study used the National Inpatient Sample database to screen for any cancer patients who were admitted with a principal discharge diagnosis of proximal lower extremity or caval DVT between January 2005 and December 2013. Patients treated with CDT plus anticoagulation were compared with those treated with anticoagulation alone using propensity score matching for comorbidities and demographic characteristics. Read More

Anticancer Res 2019 Dec;39(12):6603-6620

Department of Surgery, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic

Background: In clinical medicine, little is known about the use of allografts for portal vein (PV) reconstruction after pancreaticoduodenectomy (PD). Portal and caval systems are physiologically different, therefore the properties of allografts from caval and portal systems were studied here in a pig model.

Materials And Methods: PD with PV reconstruction with allogeneic venous graft from PV or inferior vena cava (IVC) was performed in 26 pigs. Read More

Cancer Imaging 2019 Dec 2;19(1):79. Epub 2019 Dec 2.

Department of Ultrasound, Chinese PLA General Hospital, Beijing, 100853, China.

Background: Vena cava thrombus is one of the main clinical manifestations of locally aggressive renal cell carcinoma (RCC). Inferior vena cava (IVC) wall invasion and presence of bland thrombus could affect the surgical outcome. This study aims to assess the value of contrast-enhanced ultrasound (CEUS) in detecting wall invasion and differentiating bland thrombus from tumor thrombus during robot-assisted IVC thrombectomy for RCC. Read More

J Cancer Res Clin Oncol 2020 Mar 27;146(3):711-720. Epub 2019 Nov 27.

Department of Radiation Oncology and Proton Medical Research Center, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, 305-8575, Japan.

Purpose: Hepatocellular carcinoma (HCC) with inferior vena cava tumor thrombus (IVCTT) is rare and regarded as an advanced disease stage with poor prognosis. Treatment effect data regarding HCC with IVCTT is scarce and clear evidence has not been established. This study, therefore, aims to examine the safety and effectiveness of proton beam therapy (PBT) for HCC patients with IVCTT. Read More

Zhonghua Yi Xue Za Zhi 2019 Nov;99(43):3403-3407

Department of Vascular and Interventional Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, China.

To assess the technical success rate, stent patency, clinical efficacy and complications of stent placement for filter-related chronic occlusion of the inferior vena cava. A retrospective analysis was carried out for 12 patients with filter-related chronic occlusion of the inferior vena cava associated with severe post-thrombotic syndrome, who underwent stent placement after ineffective conservative therapy at Nanjing First Hospital from March 2016 to December 2018,9 males and 3 females, aged from 48 to 77 years, mean age 60 years, six had bilateral lower extremity symptoms and six had unilateral lower extremity symptoms.Technical success rate, stent patency, clinical efficacy and complications of stent placement were recorded. Read More

Transplant Proc 2019 Dec 13;51(10):3347-3350. Epub 2019 Nov 13.

Hepatobiliary Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China; Key Laboratory of Liver Transplantation, Chinese Academy of Medical Sciences, Nanjing, China; Department of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China. Electronic address:

We described 2 cases of adult-to-adult liver transplantation using right lobe grafts donated by 2 patients suffering from focal nodular hyperplasia, the volumes of which were 360 cm and 220 cm. This study was performed in compliance with the Declaration of the Helsinki. For preparation of the graft, back-table hepatic venous outflow reconstruction, including replacement of the retrohepatic inferior vena cava and bridging of hepatic segment V5/V8, was performed by using prosthetic vessel grafts. Read More

Niger J Clin Pract 2019 Nov;22(11):1617-1620

Department of Gastroenterology, West China Hospital of Sichuan University, Chengdu, China.

Budd-Chiari syndrome (BCS) is a rare disease characterized by obstruction of hepatic venous outflow tract with diversified etiologies. Sea-blue histiocytosis (SBH) is a kind of storage diseases defined by the deposition of abundant sea-blue histiocytes in various organs and can lead to hepatosplenomegaly, cirrhosis, or even liver failure. The association between BCS and SBH has never been reported before. Read More

J Vasc Interv Radiol 2020 Feb 8;31(2):221-230.e3. Epub 2019 Nov 8.

Department of Vascular Surgery, UNC Rex Hospital, NC Heart and Vascular Research, Raleigh, North Carolina.

Purpose: To report final 2-year outcomes with the Sentry bioconvertible inferior vena cava (IVC) filter in patients requiring temporary protection against pulmonary embolism (PE).

Materials And Methods: In a prospective multicenter trial, the Sentry filter was implanted in 129 patients with documented deep vein thrombosis (DVT) and/or PE (67.5%) or who were at temporary risk of developing DVT/PE (32. Read More

Hinyokika Kiyo 2019 Oct;65(10):397-402

The Department of Urology, Akita University Graduate School of Medicine.

A 36-year-old female was referred to our hospital for a giant abdominal mass found by ultrasound examination. A computed tomographic scan showed a large retroperitoneal mass measuring 11 cm in diameter suspected to be liver invasion,a right atrial and inferior vena cava (IVC) tumor thrombus with obstruction of hepatic vein junction of IVC,and small lung metastases. She was diagnosed with cT4N0M1 adrenocortical carcinoma (ACC) by a needle biopsy and radiographic examination. Read More

In Vivo 2019 Nov-Dec;33(6):2013-2019

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

Background/ Aim: We evaluated surgical outcomes following nephrectomy and thrombectomy with and without presurgical treatment with pazopanib in patients with advanced renal cell carcinoma with inferior vena caval tumor thrombosis.

Materials And Methods: We compared surgical outcomes between patients undergoing presurgical treatment with pazopanib vs. surgery-alone in 19 patients who underwent surgery for advanced renal cell carcinoma with high-level inferior vena caval tumor thrombosis at the Kobe University Hospital. Read More

Cardiovasc Intervent Radiol 2020 Jan 24;43(1):37-45. Epub 2019 Oct 24.

Stanford University School of Medicine, 291 Campus Drive, Stanford, CA, 94305, USA.

Purpose: To characterise (1) the risk factors associated with inferior vena cava (IVC) atresia, (2) the radiographic and clinical presentations of deep vein thrombosis (DVT) in patients with IVC atresia, and (3) the treatment and outcome of DVT in patients with IVC atresia.

Methods: The electronic medical record was systematically reviewed for thrombotic risk factors in patients who presented with lower-extremity DVT (n = 409) at a single centre between 1996 and 2017. Patients with IVC atresia were identified based on imaging and chart review. Read More

J Vasc Surg Venous Lymphat Disord 2020 Jan 13;8(1):44-52. Epub 2019 Oct 13.

Department of Vascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio. Electronic address:

Objective: Inferior vena cava (IVC) filters have been commonly used to prevent pulmonary embolism in patients with deep vein thrombosis. However, IVC filters have been associated with risks, including IVC perforation, filter migration, fracture, and thrombosis. Filter retrieval has not always been successful. Read More

Rev Mal Respir 2019 Nov 12;36(9):1069-1072. Epub 2019 Oct 12.

Service de pneumologie, CHU Vésale, 6110 Charleroi, Belgique.

Introduction: Inferior vena cava agenesis is a rare congenital anomaly, generally associated with thrombophilic conditions, and a predisposing factor for deep venous thrombosis (DVT), rarely complicated by pulmonary embolism, in a young population with atypical clinical features and frequent absence of risk factors.

Case Report: We report the case of a 30-year-old woman who developed a right iliac DVT, initially presenting as a low back pain and complicated by a pulmonary embolism, 8 months after a sleeve gastrectomy. Chest CT angiography revealed abnormalities that led to the diagnosis of inferior vena cava agenesis. Read More

Urology 2020 Jan 5;135:e2-e4. Epub 2019 Oct 5.

Memorial Sloan Kettering Cancer Center, Department of Urology, New York, NY.

Primary renal neuroendocrine tumors (NETs) are exceedingly rare with roughly 100 reported cases. To the best of our knowledge, this is the first reported case of a primary renal NET with inferior vena caval tumor thrombus. The uniqueness of this case is highlighted by the degree to which vascular invasion occurred. Read More

JBJS Case Connect 2019 Jul-Sep;9(3):e0477

Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Case: A 76-year-old woman underwent L4-L5 posterior lumbar interbody fusion with pedicle screws for lumbar spondylolisthesis. Intraoperative iatrogenic injuries to the right fourth lumbar artery and inferior vena cava occurred, resulting in arteriovenous fistula with extensive retroperitoneal hemorrhage. Endovascular treatment and intraperitoneal drainage were effective in managing retroperitoneal hemorrhage. Read More

Arch Esp Urol 2019 Oct;72(8):744-749

Servicio de Urología. Hospital Universitario Puerta de Hierro de Majadahonda. Madrid. España.

Objective: To perform a literature review on the use of cavoscopy during surgery for renal cell carcinoma with vena cava thrombus (RCCVCT), according to the criteria of Evidence-Based Medicine.

Material And Methods: We performed a Pubmed search for studies published with the following keywords: "renal tumor thrombus", "renal tumor cavoscopy" and "cystoscopy thrombus", without time limit and in English. With these criteria, 5 articles were identified with a total of 41 patients. Read More

J Radiol Case Rep 2019 Mar 31;13(3):19-27. Epub 2019 Mar 31.

Mallinckrodt Institute of Radiology Washington University School of Medicine Saint Louis, MO, USA.

Spontaneous rupture of the inferior vena cava (IVC) is a rare entity. We report a case of a spontaneous IVC rupture associated with IVC filter thrombosis in a patient presenting with severe atraumatic back pain. Computed tomography (CT) identified a retroperitoneal hematoma and suggested IVC thrombosis. Read More

Can J Diabetes 2019 Dec 20;43(8):550-553. Epub 2019 Aug 20.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia, Canada.

Urology 2019 Dec 19;134:143-147. Epub 2019 Sep 19.

Surgical Outcomes Research Centre (SOuRCe), Sydney Local Health District and Sydney School of Public Health, University of Sydney, Sydney, Australia; The Institute of Academic Surgery at RPA, Sydney Local Health District, Sydney, Australia; Department of Upper Gastrointestinal Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia; University of Sydney, Sydney, NSW, Australia.

Objectives: To assess the postoperative complication rate and overall survival when bovine pericardium is used as graft material for inferior vena cava (IVC) reconstructions in patients with renal cell carcinoma (RCC). The ideal graft material is yet to be established, with synthetic grafts widely studied and used in the current literature.

Methods: We performed a retrospective cohort analysis of consecutive patients who underwent IVC reconstructions as part of resection for RCC, using bovine pericardium as either a patch repair or tubular interposition graft. Read More

BMJ Case Rep 2019 Sep 12;12(9). Epub 2019 Sep 12.

Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Pondicherry, India.

Emphysematous pyelonephritis (EPN) can present with symptoms due to infection or sepsis. EPN presenting with renal vein and inferior vena cava (IVC) thrombus is very rare. We report a case of EPN with renal vein and IVC thrombus and its management. Read More

Chin Med J (Engl) 2019 Oct;132(19):2384-2385

Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100044, China.

Urol J 2019 Oct 21;16(5):511-514. Epub 2019 Oct 21.

Department of Urology, The Second Affiliated Hospital and Yuying Chindren's Hospital of Wenzhou Medical University, Zhejiang, China.

Hepatoid adenocarcinoma (HAC) is an uncommon tumor with morphological resemblance to hepatocellular car-cinoma. HAC of the adrenal glands is extremely rare. Here, we report the case of an 83-year-old man with adrenal HAC who presented with a greatly increased preoperative serum alpha-fetoprotein level (> 24,200 ng/mL). Read More

Thromb Res 2019 Oct 23;182:116-123. Epub 2019 Aug 23.

Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI 48104, United States of America.

Introduction: Prolific collateralization in the venous system has been associated with more severe disease. However, there is a scarcity of information on venogenesis and collateral vessel progression over time. Further, little is understood regarding the relevance of the most common preclinical model-the mouse-for studying venous collateralization. Read More

Urology 2019 Nov 26;133:240. Epub 2019 Aug 26.

Department of Urology, Shamir Medical Center (Assaf Harofeh), Zerifin, Israel.

Objective: To present a rare case of "huge" hydronephrosis causing distortion of large vessels and formation of a thrombus in the inferior vena cava. Multidisciplinary treatment was applied with particular focus on pyeloplasty utilizing a robot-assisted laparoscopic approach.

Methods: A 20-month-old male presented to the emergency room severely ill with abdominal pain, nausea, vomiting, and fever and was subsequently transferred to the intensive care unit, in septic shock. Read More

JAAPA 2019 09;32(9):53-56

Mohamad Umar is a director and assistant professor of the US Army/Baylor University Emergency Medicine PA Residency Program at San Antonio (Tex.) Military Medical Center and practices in emergency medicine at San Antonio Military Medical Center. Trisha Benish is a recent graduate of the US Army/Baylor University Emergency Medicine PA Residency Program and practices in emergency medicine at 673rd Medical Group in Joint Base Elmendorf-Richardson, Ala. Lance Camacho is an assistant director and assistant professor of the US Army/Baylor University Emergency Medicine PA Residency Program and practices in emergency medicine at San Antonio Military Medical Center. The authors have disclosed no potential conflicts of interest, financial or otherwise.

BMC Surg 2019 Aug 28;19(1):122. Epub 2019 Aug 28.

Hepatobiliary Center, The First Affiliated Hospital of Nanjing Medical University; Key Laboratory of Liver Transplantation, Chinese Academy of Medical Sciences; NHC Key Laboratory of Living Donor Liver Transplantation, Nanjing, China.

Background: Presence of inferior vena cava tumor thrombosis (IVCTT) is an unfavorable factor to prognosis for patients with hepatocellular carcinoma (HCC).

Case Presentation: Herein we report a case of HCC with IVC tumor thrombosis extending from the right hepatic vein (RHV) to the IVC, but it had not infiltrated the right atrium. Anterior approach right hepatectomy combined with IVC thrombectomy using trans-diaphragmatic IVC occlusion was performed for this patient. Read More

Vasc Endovascular Surg 2019 Nov 27;53(8):644-648. Epub 2019 Aug 27.

Department of General Surgery, Shanghai University of Medicine & Health Sciences Affiliated Zhoupu Hospital, Shanghai, China.

Objective: Stenting is the preferred treatment for iliac vein lesions. For the treatment of occlusions in the junction of the iliac vein and the inferior vena cava (IVC), the stent needs to be positioned in the IVC to cover the lesion. However, the pathological changes in the contralateral iliac vein due to stent coverage on its ostium remain unclear. Read More

J Med Case Rep 2019 Aug 27;13(1):272. Epub 2019 Aug 27.

Department of Urology, Beijing United Family Hospital and Clinics, Beijing, 100015, China.

Background: The robot-assisted laparoscopic management of post-chemotherapy retroperitoneal metastasis and inferior vena cava tumor thrombus secondary to testicular cancer is a challenging task for urologists.

Case Presentation: A pathological examination of a 36-year-old Caucasian man who had undergone a right radical orchiectomy showed mixed testicular germ cell cancer (70% embryonal cancer and 30% seminoma); he had undergone four prior courses of cisplatin, etoposide, and bleomycin chemotherapy and was found to have residual retroperitoneal enlarged lymph nodes close to the right renal hilum and a 9.8 cm inferior vena cava tumor thrombus (pT1, N2, M1, S2). Read More

Thromb Haemost 2019 10 20;119(10):1686-1694. Epub 2019 Aug 20.

Department of Internal Medicine, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona.

Although prophylaxis for venous thromboembolism (VTE) is recommended after many surgeries, evidence base for use of VTE prophylaxis after foot or ankle surgery has been elusive, leading into varying guidelines recommendations and notable practice variations. We conducted a systematic review of the literature to determine if use of VTE prophylaxis decreased the frequency of subsequent VTE, including deep vein thrombosis (DVT) or pulmonary embolism (PE), compared with control. We searched PubMed, the Cochrane Central Register of Controlled Trials, and ClinicalTrials. Read More

Emerg Med J 2019 Sep;36(9):540-564

Nicosia General Hospital, Leukosia, Leukosia, Cyprus.

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Aug;51(4):684-688

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

Objective: To summarize the experience of diagnosis and operation related to massive adrenal area tumor with venous tumor thrombus in clinic.

Methods: From October 2017 to March 2019, a total of 8 cases of massive adrenal area tumor (>7 cm) with venous tumor thrombus were admitted at Peking University Third Hospital including 5 males and 3 females with mean age 50.6 years (31-62 years). Read More

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Aug;51(4):678-683

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

Objective: To analyse the clinical and imaging data of patients with renal cell carcinoma (RCC) with inferior vena cava tumor thrombus (IVCTT), and to assess the diagnostic efficacy of ultrasound, enhanced computed tomography (CT) and enhanced magnetic resonance imaging (MRI) in the diagnosis of RCC with IVCTT combined with bland thrombus was assessed.

Methods: We retrospectively analyzed the clinical and imaging data of 56 RCC patients with IVCTT who underwent radical nephrectomy and IVC thrombectomy between January 2014 and July 2018 in Department of Urology, Peking University Third Hospital. All the patients underwent US, enhanced CT and enhanced MRI preoperatively, and all the cases were confirmed with RCC with IVCTT by histological evaluation. Read More

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Aug;51(4):673-677

Department of Radiology, Peking University First Hospital, Beijing 100034, China.

Objective: To evaluate the diagnostic performance of MRI for the assessment of inferior vena cava (IVC) wall invasion by IVC thrombus in patients with renal cell carcinoma (RCC).

Methods: We retrospectively collected patients who underwent radical nephrectomy and thrombectomy for RCC between 2010 and 2018 at Peking University First Hospital. All the patients underwent imaging on a 1. Read More

Eur Urol Oncol 2019 11 16;2(6):691-698. Epub 2018 Nov 16.

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

Background: Radical nephrectomy with inferior vena cava thrombectomy (RN-IVCT) is a complicated procedure for which the impact of hospital case volume on overall survival (OS) is unknown.

Objective: To assess the degree to which renal cell carcinoma (RCC) with inferior vena cava tumor thrombus (IVC-TT) care is centralized and to evaluate the impact of hospital case volume on outcomes following RN-IVCT.

Design, Setting, And Participants: The National Cancer Data Base was queried for patients with pT3b-c RCC treated with RN-IVCT. Read More

J Vasc Interv Radiol 2019 Oct 10;30(10):1679-1682.e1. Epub 2019 Aug 10.

Department of Radiology, Division of Interventional Radiology, New York Presbyterian Hospital Weill Cornell Medicine, 525 East 68th Street, New York, NY 10065.