title: [Surgical treatment of the renal carcinoma with inferior vena cava thrombus and filter].
abstract: OBJECTIVE
  Vascular invasion in the form of tumour thrombus appears in a significant percentage of renal neoplasias. The importance of cephalic extension of the thrombus in prognosis is currently under discussion, but surgical treatment is mandatory in the absence of distant metastasis.
  
  
  METHODS
  We report the case of a 56-year-old male patient with a filter in the inferior vena cava, who underwent surgery in our department through a thoracoabdominal approach with extracorporeal circulation, deep hypothermia (below 18 degrees C) and cerebral retrograde perfusion.
  
  
  RESULTS
  Although in the past it was believed tumour thrombus worsened prognosis in these patients, currently we know that surgical treatment, in selected cases, gives good results in terms of survival and disease-free time.
  
  
  CONCLUSIONS
  We think the implementation of venous filters may increase the complexity of surgery.
authors.affiliation: Servicio de Urología, Consorcio Hospital General Universitario de Valencia, Valencia, España. chimojuan@hotmail.com
authors.forename: Joaquín Ulises Juan
authors.initials: JU
authors.lastname: Escudero
authors.forename: Macarena Ramos
authors.initials: MR
authors.lastname: de Campos
authors.forename: Sergio Cánovas
authors.initials: SC
authors.lastname: López
authors.forename: Milagros Fabuel
authors.initials: MF
authors.lastname: Deltoro
authors.forename: Emilio Marqués
authors.initials: EM
authors.lastname: Vidal
mesh_terms: D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior