Transesophageal Echocardiography-Guided Thrombectomy of Level IV Renal Cell Carcinoma without Cardiopulmonary Bypass Petar Zlatanovic Igor Koncar Nenad Jakovljevic Dejan Markovic Aleksandar Mitrovic Lazar Davidovic 10.6084/m9.figshare.7899929.v1 https://scielo.figshare.com/articles/dataset/Transesophageal_Echocardiography-Guided_Thrombectomy_of_Level_IV_Renal_Cell_Carcinoma_without_Cardiopulmonary_Bypass/7899929 <div><p>Abstract Advanced renal cell carcinoma accompanied by tumor thrombus in the venous system is present in up to 10% of cases. Extension of tumor thrombus above the diaphragm or into the right atrium represents level IV disease. Level IV tumors are typically treated with sterno-laparotomy approach with or without deep hypothermic circulatory arrest and veno-venous bypass. In this case report, the surgical technique for the resection of advanced RCC were described, with the concomitant use of transesophageal echocardiography for thrombus extraction without the veno-venous or cardiopulmonary bypass.</p></div> 2019-03-27 02:58:25 Renal Cell Carcinoma Inferior Vena Cava Transesophageal Echocardiogram