[Cancer of the kidney with inferior caval thrombus. Value of a temporary caval clip].
In renal cancers with malignant thrombus in the inferior vena cava, extension and migration of the thrombus towards the right cardiac cavities may be prevented for a long time by the efferent flow of the hepatic veins acting as a haemodynamic barrier. The authors describe a new technique in which a temporary caval clip is placed in a downstream position without opening the right atrium. After thrombectomy and enlarged nephrectomy the clip is removed and a classical barrier upstreams of the renal veins/vena cava junction is installed.
D000005:Abdomen / Q000601:surgery; D003250:Constriction; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000601:surgery; D008297:Male; D009392:Nephrectomy; D013927:Thrombosis / Q000209:etiology* / Q000601:surgery; D013997:Time Factors; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery*
Cancer du rein avec thrombus cave inférieur. Intérêt du clip cave temporaire.