Proof of Concept: Microinvasive AngioVac Approach in Renal Cell Carcinoma With Atrial Thrombosis

Gino Gerosa; Lorenzo Bagozzi; Chiara Tessari; Demetrio Pittarello; Fabio Zanella; Mariangela Mancini; Tommaso Prayer-Galetti; Umberto Cillo; Filiberto Zattoni; Vincenzo Tarzia

doi:10.1016/j.athoracsur.2020.11.093

Proof of Concept: Microinvasive AngioVac Approach in Renal Cell Carcinoma With Atrial Thrombosis

Ann Thorac Surg. 2021 Sep;112(3):e193-e196. doi: 10.1016/j.athoracsur.2020.11.093. Epub 2021 Mar 4.

Affiliations

¹ Cardiac Surgery Unit, Department of Cardiac Thoracic and Vascular Sciences and Public Health, University of Padova, Padova, Italy.
² Urology Unit, Department of Surgical, Oncological, and Gastroenterological Sciences, University of Padova, Padova, Italy.
³ Hepatobiliary Surgery and Liver Transplantation Unit, Department of Surgical, Oncological, and Gastroenterological Sciences, University of Padova, Padova, Italy.
⁴ Cardiac Surgery Unit, Department of Cardiac Thoracic and Vascular Sciences and Public Health, University of Padova, Padova, Italy. Electronic address: [email protected].

PMID: 33676906
DOI: 10.1016/j.athoracsur.2020.11.093

Abstract

The AngioVac system (AngioDynamics, Latham, NY) has already been described for treatment of thrombotic formations concerning the venous district and the tricuspid valve. We describe an innovative application of the AngioVac system to treat the inferior vena cava thrombosis associated with renal cell carcinoma. In a high surgical risk patient, we utilized a microinvasive and a modified venoarterial AngioVac circuit to remove the atrial thrombus, ensure temporary circulatory support during abdominal surgery, and prevent pulmonary embolism.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Aged
Carcinoma, Renal Cell / secondary*
Carcinoma, Renal Cell / surgery
Heart Diseases / etiology*
Heart Diseases / surgery*
Humans
Kidney Neoplasms / pathology*
Kidney Neoplasms / surgery
Male
Neoplastic Cells, Circulating*
Nephrectomy
Proof of Concept Study
Suction
Thrombosis / etiology*
Thrombosis / surgery*
Vena Cava, Inferior*