Is Preoperative Anticoagulation in Nephrectomy with Caval Thrombectomy Necessary? A Multicenter Retrospective Cohort Study

Surgery for kidney tumors with a caval thrombus is difficult and associated with a high rate of complications. One of the most feared complications is pulmonary embolism. Our study suggests that prescribing anticoagulants before surgery does not decrease the risk of embolism and could be responsible for an increased rate of complications.

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Journal
European Urology Open Science
Published
2025-08-26
DOI
https://doi.org/10.1016/j.euros.2025.08.002
Primary Topic
Renal cell carcinoma treatment
Type
article
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article

Is Preoperative Anticoagulation in Nephrectomy with Caval Thrombectomy Necessary? A Multicenter Retrospective Cohort Study

F. Bruyere, Jean‐Christophe Bernhard, Pierre Bigot, Z. Khene et al.
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European Urology Open Science
Renal cell carcinoma treatment
article

Is Preoperative Anticoagulation in Nephrectomy with Caval Thrombectomy Necessary? A Multicenter Retrospective Cohort Study

F. Bruyere, Jean‐Christophe Bernhard, Pierre Bigot, Z. Khene, N. Doumerc, Karim Bensalah, Morgan Rouprêt, T. Waeckel, Louis Surlemont, Théophile Bertail, Raphaël Fleury
article en

Abstract

Surgery for kidney tumors with a caval thrombus is difficult and associated with a high rate of complications. One of the most feared complications is pulmonary embolism. Our study suggests that prescribing anticoagulants before surgery does not decrease the risk of embolism and could be responsible for an increased rate of complications.

European Urology Open ScienceVol. 80
Centre Hospitalier Universitaire de Bordeaux (FR), Sorbonne Université (FR), Centre Hospitalier Universitaire de Tours (FR), Assistance Publique – Hôpitaux de Paris (FR), Centre Hospitalier Universitaire d'Angers (FR), Centre Hospitalier Universitaire de Caen Normandie (FR), Pitié-Salpêtrière Hospital (FR), Hôpital Rangueil (FR), Centre Hospitalier Universitaire de Rouen (FR), Centre Hospitalier Universitaire de Rennes (FR), Onco-Urologie Prédictive (FR), Université de Rouen Normandie (FR), Université de Caen Normandie (FR)
Good health and well-being
Openalex Percentile: Top 67%
Renal cell carcinoma treatment
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Is Preoperative Anticoagulation in Nephrectomy with Caval Thrombectomy Necessary? A Multicenter Retrospective Cohort Study — F. Bruyere, Jean‐Christophe Bernhard, et al. · European Urology Open Science (2025) | TGRS Research Map | TGRS