Renal cell carcinoma invading the inferior vena cava: use of a “temporary” vena cava filter to prevent tumor emboli during nephrectomy

Abstract

Renal cell carcinoma with tumor thrombus extension into the inferior vena cava (IVC) remains a difficult operative challenge. Placement of a suprarenal “temporary” IVC filter, with its ease of insertion and removal, makes it the ideal treatment to prevent pulmonary embolism in these difficult cases. We report the first 2 cases of temporary suprarenal IVC filters placed at the time of radical nephrectomy to eliminate the possibility of perioperative pulmonary embolus and avoid the potential long-term sequelae of a permanent suprarenal IVC filter.