Francesco Cianflone1, Giuseppe Ottone Cirulli1, Alessio Villano1, Mohammad Eisa Ali1, Mirko Belliato2, Roberto Veronesi2, Germana Bichisao3, Carlo Marchetti1, Simona Secondino4, Paolo Pedrazzoli4,5, Stefano Pelenghi6, Carlo Pellegrini6,7, Andrea Ringressi1, Richard Naspro1,7,*
Canadian Journal of Urology, Vol.33, No.2, pp. 459-470, 2026, DOI:10.32604/cju.2025.073002
- 20 April 2026
Abstract Background: Robot-assisted partial nephrectomy (RAPN) is standard for cT1 renal masses, but its feasibility in patients on temporary mechanical circulatory support is poorly documented. We report RAPN performed while a patient was simultaneously supported with venous-arterial extracorporeal membrane oxygenation (VA ECMO) and Impella®, as part of a staged plan for left ventricular assist device (LVAD) implantation and eventual heart transplantation. Case Presentation: A 51-year-old man presented with ST-elevation myocardial infarction complicated by cardiogenic shock requiring percutaneous coronary intervention with stenting, dual antiplatelet therapy, and combined VA ECMO–Impella® support. During workup for cardiac transplant, computed tomography (CT) staging… More >