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The likely cause of renal dysfunction in patients with renal cell carcinoma RCC and inferior vena cava IVC tumor thrombus is congestive nephropathy ndash; and it may be reversible with nephrectomy and IVC thrombectomy. Lorraine Scanlon, MD, of the University of Western Ontario, London, Ontario, C
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stanley cup y presentation at the Society of Urologic Oncology SUO meeting in Phoenix, Arizona.IVC thrombus causes venous outflow obstruction in the kidney, raising renal venous and interstitial pressures and diminishing the filtration gradient, thereby impairing glomerular filtration, Dr Scanlon explained. We explicitly frame [congestive nephropathy] as a new etiologic lens for renal dysfunction: Beyond irreversible parenchymal loss or ischemia, [congestive nephropathy] attributes kidney injury to reversible venous congestion.In the single-center retrospective study from 2002-2023, Dr Scanlon and colleagues compared 35 patients without IVC tumor thrombus who underwent radical nephrectomy alone and 23 patients with IVC thrombus and total venous occlusion who additionally underwent IVC tumor thrombectomy. Although tumor size was larger in the IVC thrombus group median 10.46 vs 7.12 cm , the perioperative morbidity rate was low. At baseline, estimated glomerular filtration rate eGFR was lower in the thrombus group.More than 90 days after surgery, absolute eGFR had declined less
stanley bicchiere in the thrombus group than in the control g Btum Representative Kent Haden Discusses Passing of SB 727
SACRAMENTO, Calif. 鈥?Californias attorney general announced on Tuesday that he wont charge two Sacramento police officers who fatally shot an unarmed black man last year, joining a local prosecutor in finding that the officers reasonably believed Stephon Clark had a gun as he moved toward them. Attorney General Xavier Becerra announced the resu
stanley canada lts of a nearly yearlong investigation after telling Clarks mother privately. He acknowledged that it was not what Clarks family wanted but said the evidence showed the officers had reason to believe their lives were in danger, though investigators found only a cellphone. There is a lot of hurt in this community today and certainly in the home of the Clark family, Becerra said. Our investigation cant change what has happened, but we can make every effort to deliver a fair, thorough and impartial review, which we promised this community. Clark, 22, was suspected of vandalism when he was shot seven times on March 18, 2018, and his killing prompted protests in Californias capital city and across the U.S.New demonstrations followed Sacramento County District Attorney
stanley italy Anne Marie Schuberts decision this weekend not to charge the officers, with more than 80 people arrested on Monday. A reporter from The Sacramento Bee newspaper was briefly detained while live-streaming the protest.Join your neighbors and subscribe!Award-winning coverage on breaking news and todays top stories i
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