Use of Transesophageal Echocardiogram and Interdisciplinary Approach to Intraoperative Management of Renal Cell
Saroj Pani1, Rhiannon Kelsh-Lasher1, Joanne Barlin1
1Department of Anesthesiology, Albany Medical Center, Albany, NY.
Objective:
Report experience of patients undergoing surgery for resection of renal cell carcinoma with inferior vena cava invasion and use of transesophageal echocardiogram (TEE).
Design:
Retrospective and observational study.
Setting:
Single large university hospital.
Participants:
The study comprised 55 consecutive who underwent resection of renal cell carcinoma.
Interventions:
A transesophageal echocardiogram was performed by cardiac anesthesiologists in high grade tumors.
Measurements And Main Results:
Twenty-two patients had tumor thrombi classified as level III, and 6 patients were classified as level IV. There was increased use of TEE for higher level of tumor thrombi.
Conclusions:
The surgical management of renal cell carcinoma with inferior vena cava tumor extension is complex. High-grade tumors require individualized treatment. Successful outcomes require collaboration between surgeons and anesthesiologists. Patients with level IIIb to IV tumor invasion benefit from TEE assessment and monitoring, which may be life-saving, and cardiac anesthesia should be involved in those types of cases.
More Related Videos
06:59Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava
Published on: January 13, 2023
13:48Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
Published on: April 21, 2023
Related Concept Videos
01:26Kidney Transplant II: Surgical Procedure
01:19Imaging Studies VII: Vascular Imaging
01:25Urinary Tract Calculi VI: Surgical Management
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
01:16Kidney Transplant III: Nursing Management