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Tumor Thrombectomy Overview and General Concepts

  • Yelena Livshits
  • Juan E. Marcano
Reference work entry

Abstract

The extension of a malignant tumor into major vascular structures is overall a rare occurrence. Nevertheless, intravascular involvement represents a challenge for management of the patient and has been associated with a worse prognosis. Surgical embolectomy and primary resection in the organ of tumor origin is the gold standard for management although alternative methods of treatment have also been published. Surgical embolectomy requires a thorough workup and meticulous surgical planning, including coordination with a multidisciplinary. The surgical procedure is challenging for both the surgical team and the anesthesia team who must anticipate the need for blood products, fluid balance, and pain management. The enhanced recovery pathway, beginning in the preoperative setting, as well as prudent follow up monitoring can improve the prognosis for these cases.

Keywords

Tumor thrombectomy Inferior vena cava thrombus Renal cell carcinoma Hepatocellular carcinoma Tumor embolectomy 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Yelena Livshits
    • 1
  • Juan E. Marcano
    • 2
  1. 1.Department of Anesthesiology, Critical Care and Pain MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA
  2. 2.Department of Surgery, Division of Cardiothoracic SurgeryBaylor College of MedicineHoustonUSA

Section editors and affiliations

  • Garry Brydges
    • 1
  1. 1.Department of Anesthesiology Division of Anesthesia, Critical Care and Pain MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA

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