Skip to main content
Top
Published in: Annals of Vascular Surgery 6/2003

01-12-2003 | Case Report

Inferior Vena Cava Thrombus Removal Using Hypothermic Circulatory Arrest in Two Patients with Osteosarcoma

Authors: Nicholas D. Garcia, MD, Mark D. Morasch, MD, Albert D. Sam II, MD, Robert L. Satcher, MD PhD, Matthew G. Blum, MD, and David A. Fullerton, MD

Published in: Annals of Vascular Surgery | Issue 6/2003

Login to get access

Abstract

In this case report, the technique of deep hypothermia and circulatory arrest (DHCA) is used to successfully extract extensive symptomatic tumor thrombus from the inferior vena cava (IVC) in two patients with osteosarcoma. This is the first description of the use of this modality for treatment of osteosarcoma involving the IVC. Osteosarcoma and the use of DHCA are discussed.
Literature
1.
go back to reference Lillehei, CW, Todd, DB Jr, Levy, MJ, Ellis, RJ 1969Partial cardiopulmonary bypass, hypothermia, and total circulatory arrest. A life-saving technique for ruptured mycotic aneurysms, ruptured left ventricle, and other complicated cardiac pathology.J Thorac Cardiovasc Surg58530544PubMed Lillehei, CW, Todd, DB Jr, Levy, MJ, Ellis, RJ 1969Partial cardiopulmonary bypass, hypothermia, and total circulatory arrest. A life-saving technique for ruptured mycotic aneurysms, ruptured left ventricle, and other complicated cardiac pathology.J Thorac Cardiovasc Surg58530544PubMed
2.
go back to reference Gregg, FP, Goldstein, HM, Wallace, S, Casey, JH 1975Arteriographic demonstration of intravenous tumor extension.AJR123100105 Gregg, FP, Goldstein, HM, Wallace, S, Casey, JH 1975Arteriographic demonstration of intravenous tumor extension.AJR123100105
3.
go back to reference Merimsky, O, Isakov, J, Kollender, Y, Nirkin, A, Inbar, M, Meller, I 1998Vascular invasion in high grade sarcoma of the extremity is associated with short overall survival.Oncol Rep5985989PubMed Merimsky, O, Isakov, J, Kollender, Y, Nirkin, A, Inbar, M, Meller, I 1998Vascular invasion in high grade sarcoma of the extremity is associated with short overall survival.Oncol Rep5985989PubMed
4.
go back to reference Provisor, AJ, Ettinger, LJ, Nachman, JB, et al. 1997Treatment of nonmetastatic osteosarcoma of the extremity with preoperative and postoperative chemotherapy: a report from the Children’s Cancer Group.J Clin Oncol157684PubMed Provisor, AJ, Ettinger, LJ, Nachman, JB,  et al. 1997Treatment of nonmetastatic osteosarcoma of the extremity with preoperative and postoperative chemotherapy: a report from the Children’s Cancer Group.J Clin Oncol157684PubMed
5.
go back to reference Meyers, PA, Gorlick, R, Heller, G, et al. 1998Intensification of preoperative chemotherapy for osteogenic sarcoma: results of the Memorial Sloan-Kettering (T12) protocol.J Clin Oncol1624522458PubMed Meyers, PA, Gorlick, R, Heller, G,  et al. 1998Intensification of preoperative chemotherapy for osteogenic sarcoma: results of the Memorial Sloan-Kettering (T12) protocol.J Clin Oncol1624522458PubMed
6.
go back to reference Davits, RJ, Blom, JH, Schroder, FH 1992Surgical management of renal carcinoma with extensive involvement of the vena cava and right atrium.Br J Urol70591593PubMed Davits, RJ, Blom, JH, Schroder, FH 1992Surgical management of renal carcinoma with extensive involvement of the vena cava and right atrium.Br J Urol70591593PubMed
7.
go back to reference Novick, AC, Kaye, MC, Cosgrove, DM 1990Experience with cardiopulmonary bypass and deep hypothermic circulatory arrest in the management of retroperitoneal tumors with large vena caval thrombi.Ann Surg212472477PubMed Novick, AC, Kaye, MC, Cosgrove, DM 1990Experience with cardiopulmonary bypass and deep hypothermic circulatory arrest in the management of retroperitoneal tumors with large vena caval thrombi.Ann Surg212472477PubMed
8.
go back to reference Ricci, MA, Cloutier, LM, Mount, S, Welander, C, Leavitt, BJ 1995Intravenous leiomyomatosis with intracardiac extension.Cardiovasc Surg3693696CrossRefPubMed Ricci, MA, Cloutier, LM, Mount, S, Welander, C, Leavitt, BJ 1995Intravenous leiomyomatosis with intracardiac extension.Cardiovasc Surg3693696CrossRefPubMed
9.
go back to reference Langley, SM, Chai, PJ, Jaggers, JJ, Ungerleider, RM 2000Preoperative high dose methylprednisolone attenuates the cerebral response to deep hypothermic circulatory arrest.Eur J Cardiothorac Surg17279286CrossRefPubMed Langley, SM, Chai, PJ, Jaggers, JJ, Ungerleider, RM 2000Preoperative high dose methylprednisolone attenuates the cerebral response to deep hypothermic circulatory arrest.Eur J Cardiothorac Surg17279286CrossRefPubMed
10.
go back to reference Stewart, JR, Carey, JA, McDougal, WS, Merrill, WH, Koch, MO, Bender, HW Jr 1991Cavoatrial tumor thrombectomy using cardiopulmonary bypass without circulatory arrest.Ann Thorac Surg51717722PubMed Stewart, JR, Carey, JA, McDougal, WS, Merrill, WH, Koch, MO, Bender, HW Jr 1991Cavoatrial tumor thrombectomy using cardiopulmonary bypass without circulatory arrest.Ann Thorac Surg51717722PubMed
11.
go back to reference Belis, JA, Levinson, ME, Pae, WE Jr 2000Complete radical nephrectomy and vena caval thrombectomy during circulatory arrest.J Urol163434436PubMed Belis, JA, Levinson, ME, Pae, WE Jr 2000Complete radical nephrectomy and vena caval thrombectomy during circulatory arrest.J Urol163434436PubMed
12.
go back to reference Beltz, MS, Pae, WE Jr, Belis, JA 1999Application of retrograde cerebral perfusion and moderate systemic hypothermic circulatory arrest for cavoatrial tumor resection.Tech Urol58791PubMed Beltz, MS, Pae, WE Jr, Belis, JA 1999Application of retrograde cerebral perfusion and moderate systemic hypothermic circulatory arrest for cavoatrial tumor resection.Tech Urol58791PubMed
Metadata
Title
Inferior Vena Cava Thrombus Removal Using Hypothermic Circulatory Arrest in Two Patients with Osteosarcoma
Authors
Nicholas D. Garcia, MD
Mark D. Morasch, MD
Albert D. Sam II, MD
Robert L. Satcher, MD PhD
Matthew G. Blum, MD
and David A. Fullerton, MD
Publication date
01-12-2003
Publisher
Springer-Verlag
Published in
Annals of Vascular Surgery / Issue 6/2003
Print ISSN: 0890-5096
Electronic ISSN: 1615-5947
DOI
https://doi.org/10.1007/s10016-003-0077-z

Other articles of this Issue 6/2003

Annals of Vascular Surgery 6/2003 Go to the issue

Papers Presented at the Thirteenth Annual Winter Meeting of the Peripheral Vascular Surgery Society

The Effect of Gender on Early and Intermediate Results of Endovascular Aneurysm Repair

Letter to the Editor

Response

Papers Presented at the Thirteenth Annual Winter Meeting of the Peripheral Vascular Surgery Society

Carotid Artery Stenting in a Community Setting: Experience Outside of a Clinical Trial

Papers Presented at the Thirteenth Annual Winter Meeting of the Peripheral Vascular Surgery Society

Vascular Injuries Associated with Elective Orthopedic Procedures

Papers Presented at the Thirteenth Annual Winter Meeting of the Peripheral Vascular Surgery Society

Iatrogenic Hepatic Artery Pseudoaneurysms: An Uncommon Complication after Hepatic, Biliary, and Pancreatic Procedures