The Inferior Vena Cava Clip: The Percutaneous Approach

Pulmonary embolism in high-risk patients may be minimized by surgical inferior vena cava (IVC) clipping or by the insertion of caval filters. A percutaneous clipping technique was developed that narrows the cava while allowing caval patency. The caval clip is inserted through a percutaneous translum...

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Veröffentlicht in:Investigative radiology 1990-08, Vol.25 (8), p.871-875
Hauptverfasser: BILDSOE, MARK C, YEDLICKA, JOSEPH W, HUNTER, DAVID W, CASTAÑEDA-ZÚÑIGA, WILFRIDO R, AMPLATZ, KURT
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container_end_page 875
container_issue 8
container_start_page 871
container_title Investigative radiology
container_volume 25
creator BILDSOE, MARK C
YEDLICKA, JOSEPH W
HUNTER, DAVID W
CASTAÑEDA-ZÚÑIGA, WILFRIDO R
AMPLATZ, KURT
description Pulmonary embolism in high-risk patients may be minimized by surgical inferior vena cava (IVC) clipping or by the insertion of caval filters. A percutaneous clipping technique was developed that narrows the cava while allowing caval patency. The caval clip is inserted through a percutaneous translumbar approach under fluoroscopic control. Nine dogs underwent percutaneous translumbar caval clip placement without complications. Three of four dogs, followed-up for 5 to 19 weeks by angiography and caval pressure measurements, showed caval patency. This technique eliminates the risks of surgical IVC clip placement and risks from the insertion of intravascular foreign bodies such as filters.
doi_str_mv 10.1097/00004424-199008000-00001
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subjects Angiography
Animals
Constriction
Dogs
Female
Fluoroscopy
Male
Prostheses and Implants
Pulmonary Embolism - prevention & control
Radiology, Interventional
Stainless Steel
Vena Cava, Inferior
title The Inferior Vena Cava Clip: The Percutaneous Approach
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