Skip to main content
SpringerLink
Log in

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

  • Case Report
  • Published:
Annals of Vascular Surgery

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2
Figure 3
Figure 4

References

  1. CW Lillehei DB Jr Todd MJ Levy RJ Ellis (1969) ArticleTitlePartial 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 Surg 58 530–544 Occurrence Handle1:STN:280:CS%2BD3cjisV0%3D Occurrence Handle5394448

    CAS  PubMed  Google Scholar 

  2. FP Gregg HM Goldstein S Wallace JH Casey (1975) ArticleTitleArteriographic demonstration of intravenous tumor extension. AJR 123 100–105 Occurrence Handle1:STN:280:CSqC38nhsFY%3D

    CAS  Google Scholar 

  3. O Merimsky J Isakov Y Kollender A Nirkin M Inbar I Meller (1998) ArticleTitleVascular invasion in high grade sarcoma of the extremity is associated with short overall survival. Oncol Rep 5 985–989 Occurrence Handle1:STN:280:DyaK1c3ptVyhsA%3D%3D Occurrence Handle9625859

    CAS  PubMed  Google Scholar 

  4. AJ Provisor LJ Ettinger JB Nachman et al. (1997) ArticleTitleTreatment of nonmetastatic osteosarcoma of the extremity with preoperative and postoperative chemotherapy: a report from the Children’s Cancer Group. J Clin Oncol 15 76–84 Occurrence Handle1:CAS:528:DyaK2sXnsV2gtQ%3D%3D Occurrence Handle8996127

    CAS  PubMed  Google Scholar 

  5. PA Meyers R Gorlick G Heller et al. (1998) ArticleTitleIntensification of preoperative chemotherapy for osteogenic sarcoma: results of the Memorial Sloan-Kettering (T12) protocol. J Clin Oncol 16 2452–2458 Occurrence Handle1:CAS:528:DyaK1cXks1GntbY%3D Occurrence Handle9667263

    CAS  PubMed  Google Scholar 

  6. RJ Davits JH Blom FH Schroder (1992) ArticleTitleSurgical management of renal carcinoma with extensive involvement of the vena cava and right atrium. Br J Urol 70 591–593 Occurrence Handle1:STN:280:ByyC3snovFU%3D Occurrence Handle1486383

    CAS  PubMed  Google Scholar 

  7. AC Novick MC Kaye DM Cosgrove (1990) ArticleTitleExperience with cardiopulmonary bypass and deep hypothermic circulatory arrest in the management of retroperitoneal tumors with large vena caval thrombi. Ann Surg 212 472–477 Occurrence Handle1:STN:280:By6D38vjsVQ%3D Occurrence Handle2222013

    CAS  PubMed  Google Scholar 

  8. MA Ricci LM Cloutier S Mount C Welander BJ Leavitt (1995) ArticleTitleIntravenous leiomyomatosis with intracardiac extension. Cardiovasc Surg 3 693–696 Occurrence Handle10.1016/0967-2109(96)82871-7 Occurrence Handle1:STN:280:BymA2czgvFI%3D Occurrence Handle8745195

    Article  CAS  PubMed  Google Scholar 

  9. SM Langley PJ Chai JJ Jaggers RM Ungerleider (2000) ArticleTitlePreoperative high dose methylprednisolone attenuates the cerebral response to deep hypothermic circulatory arrest. Eur J Cardiothorac Surg 17 279–286 Occurrence Handle10.1016/S1010-7940(00)00336-5 Occurrence Handle1:STN:280:DC%2BD3c3itlSgsw%3D%3D Occurrence Handle10758389

    Article  CAS  PubMed  Google Scholar 

  10. JR Stewart JA Carey WS McDougal WH Merrill MO Koch HW Jr Bender (1991) ArticleTitleCavoatrial tumor thrombectomy using cardiopulmonary bypass without circulatory arrest. Ann Thorac Surg 51 717–722 Occurrence Handle1:STN:280:By6B387ns1A%3D Occurrence Handle1850976

    CAS  PubMed  Google Scholar 

  11. JA Belis ME Levinson WE Jr Pae (2000) ArticleTitleComplete radical nephrectomy and vena caval thrombectomy during circulatory arrest. J Urol 163 434–436 Occurrence Handle1:STN:280:DC%2BD3c7ht1Wktg%3D%3D Occurrence Handle10647648

    CAS  PubMed  Google Scholar 

  12. MS Beltz WE Jr Pae JA Belis (1999) ArticleTitleApplication of retrograde cerebral perfusion and moderate systemic hypothermic circulatory arrest for cavoatrial tumor resection. Tech Urol 5 87–91 Occurrence Handle1:STN:280:DyaK1MzosFynsQ%3D%3D Occurrence Handle10458661

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Vascular Surgery, Departments of Surgery and Orthopedics, The Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    Nicholas D. Garcia MD, Mark D. Morasch MD & Albert D. Sam II MD

  2. Division of Cardiothoracic Surgery, Departments of Surgery and Orthopedics , The Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    Matthew G. Blum MD & and David A. Fullerton MD

  3. Division of Orthopedic Oncology, Departments of Surgery and Orthopedics, The Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    Robert L. Satcher MD PhD

Authors
  1. Nicholas D. Garcia MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mark D. Morasch MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Albert D. Sam II MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Robert L. Satcher MD PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Matthew G. Blum MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. and David A. Fullerton MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mark D. Morasch MD.

About this article

Cite this article

Garcia, N.D., Morasch, M.D., Sam, A.D. et al. Inferior Vena Cava Thrombus Removal Using Hypothermic Circulatory Arrest in Two Patients with Osteosarcoma . Ann Vasc Surg 17, 686–689 (2003). https://doi.org/10.1007/s10016-003-0077-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10016-003-0077-z

Search

Navigation