• MeSH
• katetrizace škodlivé účinky   metody   MeSH
• lidé MeSH
• vena cava inferior chirurgie   MeSH
• vena saphena chirurgie   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

Patients who suffer from recurrent thromboembolic events often receive an inferior vena cava (IVC) filter. There are few data available regarding treatment of this patient population with catheterization interventions, especially catheter ablation. We report a case of cavotricuspid isthmus catheter ablation across an IVC filter.

• MeSH
• flutter síní chirurgie   MeSH
• kardiovaskulární chirurgické výkony metody   MeSH
• kavální filtry * MeSH
• lidé MeSH
• převodní systém srdeční chirurgie   MeSH
• senioři MeSH
• trikuspidální chlopeň chirurgie   MeSH
• vena cava inferior chirurgie   MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

• MeSH
• dospělí MeSH
• hemodynamika MeSH
• krevní oběh * MeSH
• lidé MeSH
• reologie MeSH
• ultrazvuk MeSH
• vena cava inferior fyziologie   MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

The authors describe a rare complication of ureteral stenting is the case study of a patient admitted to the hospital for congestion in the outlet system of both kidneys due to external ureteral compression by tumorous mass in the retroperitoneum. Histology confirmed the B-lymphoma of the retroperitoneum as a cause of the patients problems. The ureteral stent was perforated in the course of inserting the stent into the ureter and the end of the splint was introduced into the inferior vena cava. The patient was asymptomatic, and this complication was detected as late as on day 12 on the follow-up CT scan. Stent extraction was without complications and without bleeding.

• Klíčová slova
• B-lymphoma, double J stent, hydronephrosis, iatrogenic injury, inferior vena cava,
• MeSH
• B-buněčný lymfom MeSH
• dlahy * škodlivé účinky   MeSH
• lidé MeSH
• odstranění implantátu MeSH
• retroperitoneální nádory MeSH
• stenty MeSH
• ureter * MeSH
• vena cava inferior * zranění   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

• Klíčová slova
• MITRAL STENOSIS/surgery *, VENAE CAVAE *,
• MeSH
• lidé MeSH
• mitrální stenóza chirurgie   MeSH
• vena cava inferior * MeSH
• venae cavae * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

A case of what most probably was idiopathic thrombosis in the accessory and principal vein of the right kidney with the subsequent vena cava inferior syndrome is reported. The disease was complicated by clinically insignificant pulmonary embolisms. Needle biopsy discovered a fibroproductive chronic inflammatory process in the renal interstitium. Paramount diagnostic importance was attributed to retrograde cavography of the inferior vena cava.

• MeSH
• dospělí MeSH
• lidé MeSH
• rentgendiagnostika MeSH
• syndrom MeSH
• trombóza * diagnostické zobrazování   MeSH
• vena cava inferior * diagnostické zobrazování   MeSH
• venae renales * diagnostické zobrazování   MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

INTRODUCTION: Thrombosis of inferior vena cava (IVC) is an important complication amongst oncological patients. Tumor thrombus of IVC is characteristic for patients with renal cell carcinoma, occurring in 1018%. The aim of the work is to analyze of surgical treatment in patients with cancer thrombosis of inferior vena cava in kidney cancer. METHODS: Between 2010 and 2019 we treated 32 patients with kidney cancer complicated by thrombotic infiltration of the inferior vena cava. According to Nesbitt classification the levels of thrombotic infiltration of the inferior vena cava were: I-8 (25%), II-14 (43.8%), III-6 (18.8%), and IV-4 (12.5%). Nephrectomy with thrombectomy of the cancer thrombus in the inferior vena cava was performed in all patients. In addition to laparotomy, sternotomy was approached in 4 patients with Nesbitt IV and in 2 patients with Nesbitt III. RESULTS: Primary suture of IVC was performed in 26 patients; angioplasty of IVC was performed in 4 patients; and resection of IVC with replacement using a polytetrafluoroethylene interposition graft was done in 2 patients. Radical surgical treatment was performed in 27 (84.3%) patients, and palliative in 5 (15.6%) patients. In the postoperative period, 1 (3.1%) patient (Nesbitt IV) died of cardiac failure during hospitalisation. Two-year survival was observed in 75% of the cases. CONCLUSION: Tumorous infiltration of IVC is associated with a high potential for tumour embolisation to the lungs, leading to the formation of multiple metastases and spreading of the underlying disease. Postoperative comfort is improved considerably after nephrectomy of the affected kidney and removal of the tumour thrombus, including IVC resection as appropriate, and when combined with oncological treatment, the survival rate is increased significantly, as well.

• Klíčová slova
• inferior vena cava − renal cell carcinoma − tumour thrombus,
• MeSH
• karcinom z renálních buněk chirurgie   MeSH
• lidé MeSH
• nádory ledvin chirurgie   MeSH
• nefrektomie MeSH
• trombektomie MeSH
• vena cava inferior chirurgie   MeSH
• žilní trombóza * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

Inferior vena cava injury as well as major liver injury remains a formidable treatment challenge. The most imminent danger is life-threatening bleeding. In this report, we present a case of polytrauma (Injury Severity Score 35) with arupture of the juxtahepatic inferior vena cava which was successfully treated using two-stage approach. The first part of the treatment consisted of damage control laparotomy at a level I trauma center. After stabilization, the patient was air-transported to receive the definitive treatment at a tertiary care facility experienced in hepatopancreatobiliary and transplantation surgery. As the level of injury was not clear prior to the second stage surgery, a cardiac team also assisted the operation. The second stage procedure was uneventful. The patient is doing well and is preparing to return to work. We believe that experience with major abdominal, thoracic and liver transplantation surgery is beneficial in such cases.

• Klíčová slova
• liver - inferior vena cava - trauma - transport - two-stage surgery,
• MeSH
• játra zranění   MeSH
• krvácení MeSH
• lidé MeSH
• polytrauma * MeSH
• poranění břicha * chirurgie   MeSH
• ruptura MeSH
• transport pacientů MeSH
• vena cava inferior * zranění   chirurgie   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

• Klíčová slova
• THROMBOPHLEBITIS *, VENAE CAVAE *,
• MeSH
• tromboflebitida * MeSH
• vena cava inferior * MeSH
• venae cavae * MeSH
• Publikační typ
• časopisecké články MeSH

Patients suffering from renal carcinoma, treated at the Department of Urology in Hradec Králové, have been systematically followed up since 1962. In the present study we evaluated a group of patients treated from the year 1985 till 1991. The group consisted of 365 patients with renal carcinoma. In 55 (15%) of them invasion into the renal vein or into the vena cava inferior was found (in 43 men and 12 women). In 38 patients the tumour with thrombus in the vena cava inferior was on the right side, in 17 the tumour of the left kidney was removed. The proportion of the right side to the left was 2.2:1. The surgical treatment of tumorous thrombosis depends on the upper border line of the tumorous thrombus. The tumorous thrombus in the subhepatic segment of the vena cava inferior can be treated by its massaging into the renal vein after the obliteration of the artery or by the parietal resection of the vena cava inferior. The resection of the vena cava inferior was performed in 32 patients. In 5 patients the tumorous invasion could not be treated because of extensive metastases (into the liver and the lung) or there was a tumorous parietal infiltration of the vena cava inferior. Evaluating the whole group after 30 years inclusive of the Navrátil's set made with our cooperation, there were 1,005 patients suffering from renal tumours, operated on at the Department of Urology in Hradec Králové. In 155 (15.4%) tumorous thrombi were surgically removed from the great veins. In 38 cases there was a demarcation of tumorous thrombi to the renal vein but in 117 the thrombus penetrated into the vena cava inferior.(ABSTRACT TRUNCATED AT 250 WORDS)

• MeSH
• invazivní růst nádoru MeSH
• karcinom z renálních buněk patologie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nádory ledvin patologie   MeSH
• trombóza etiologie   MeSH
• vena cava inferior * MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH