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World J Clin Urol. Jul 24, 2014; 3(2): 127-133
Published online Jul 24, 2014. doi: 10.5410/wjcu.v3.i2.127
Published online Jul 24, 2014. doi: 10.5410/wjcu.v3.i2.127
Cardiopulmonary bypass with brain perfusion for renal cell carcinoma with caval thrombosis
Alessandro Antonelli, Irene Mittino, Claudio Muneretto, Sergio Cosciani Cunico, Claudio Simeone, Chair and Division of Urology, Spedali Civili Hospital, University of Brescia, 25127 Brescia, Italy
Gianluigi Bisleri, Annalisa Moggi, Claudio Muneretto, Department of Cardiac Surgery, University of Brescia, Brescia, Italy
Author contributions: Antonelli A, Bisleri G, Muneretto C, Cosciani Cunico S and Simeone C designed the study and took part of the majority of the intervention; Mittino I and Moggi A collected data; Mittino I and Antonelli A wrote the manuscript.
Correspondence to: Alessandro Antonelli, MD, Chair and Division of Urology, Spedali Civili Hospital, University of Brescia, Piazzale Spedali Civili 1, 25127 Brescia, Italy. alxanto@hotmail.com
Telephone: +39-30-3995215 Fax: +39-30-399002
Received: December 17, 2013
Revised: March 4, 2014
Accepted: May 8, 2014
Published online: July 24, 2014
Revised: March 4, 2014
Accepted: May 8, 2014
Published online: July 24, 2014
Core Tip
Core tip: Surgery for renal cell carcinoma with caval thrombosis extended to the diaphragm or right atrium is burdened by a high risk of complications. The adoption of a modified technique of cardiopulmonary by-pass that maintans the perfusion of brain circulation, doesn’t add morbidity to the procedure and can be in principle of benefit, since it shortens the duration of surgery and requires a less deep hypothermia.