Plication of the Inferior Vena Cava for Pulmonary Embolism

Spencer, Frank C.; Jude, James R.; Rienhoff, William F.; Stonesifer, Geary L.

doi:10.1097/00000658-196505000-00017

Cited by 62 publications

(8 citation statements)

References 7 publications

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“…Thrombectomy of the femoralpoptiteal segment was performed through the femoral vein. Plication of the great veins was carried out in 10 patients by means of the suture method of Spencer [4], insertion of a serrated clip, or use of the mechanical stapling apparatus (UKB or UBU). Implantation of a vena cava filter was performed in 44 patients by the method of Mobin-Uddin et al [5,6].…”

Section: Operationsmentioning

confidence: 99%

Surgical prevention of pulmonary embolism

et al. 1980

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"It is less trouble to apply the remedy to a danger than to keep watch upon the approach of it .... The very remedies of dangers carry little dangers in them." (Francis Bacon, 1623) In an autopsy study of 919 patients who died during the decade from 1964 to 1973 with emboli (731 cases) or thrombi (188 cases) in the pulmonary arteries, the source of the emboli was believed to be the iliocaval segment in 63.8% and the femoral-popliteal segment in 36.2%. Phlebography was performed in 353 patients with acute phlebothrombosis or pulmonary embolism, and radioisotopic scintiscans with ~25I-fibrinogen were performed in 309 patients. Phlebography, particularly with the method of retrograde iliocavography, was of decisive importance in determining the indications for surgery to prevent pulmonary embolism by demonstrating floating thrombi in 37.5% of the cases. During the period 1971 to 1977, 173 operations were performed to prevent pulmonary emboli. These were thrombectomy in 59 patients, filter implantation in 44, vein plication in 10, vein ligation in 3, and combinations of these procedures in 57. Demonstration of a floating venous thrombus was considered an absolute indication for operation. The postoperative mortality rate was 9.2%, and the incidence of postoperative pulmonary embolism was 1.5%

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Section: Operationsmentioning

confidence: 99%

Surgical prevention of pulmonary embolism

et al. 1980

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“…10 A venous channel of 3 mm is considered to be capable of trapping clinically significant thrombus while preserving venous return. 11 Suture plication of the BCV to prevent pulmonary embolism in patients with UEDVT is theoretically as effective as suture placation of the IVC.…”

Section: Discussionmentioning

confidence: 99%

Upper extremity deep vein thrombosis treated by a filter in the superior vena cava placed intraoperatively to allow safe esophageal surgery: Report of a case

et al. 2010

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Upper extremity deep vein thrombosis (UEDVT) is an infrequent but dangerous vascular event, especially for patients undergoing thoracic surgery. However, there is no standard perioperative management to reduce the risk of pulmonary thromboembolism in such patients. We describe how we performed successful esophagectomy in a patient with UEDVT treated by placing a filter in the superior vena cava during surgery.

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“…When anticoagulant therapy failed or patients could not receive an anticoagulant therapy, a cava ligation or plication was performed [30,31]. Other approaches of suprarenal IVC control consist in suprarenal IVC clips, vascular clamping guided by transesophageal echocardiography, and sternotomy with direct clamping [29].…”

Section: • Adrenal Glandmentioning

confidence: 99%

Current role of interventions in metastatic kidney tumors: single center experience

et al. 2011

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This study on the treatment of kidney tumor metastases aims to expose our experience in different interventional therapies for renal cell carcinomas metastasis in different organs, broaching their complications and comparing our results with the literature. In the last 5 years, after informed consent, 22 patients with metastatic kidney tumors were enrolled in this retrospective observational study. According to lesion sites, different interventional procedures may be performed: RFA for pancreas, lung, adrenal gland and liver lesions; TAE and RFA for bone lesions and IVC filter positioning for thrombosis of renal vein. There were mainly satisfactory results: complete necrosis of pancreas, lung and adrenal gland metastasis with a technical success rate of 100%; after TAE and RFA of bone lesions, an acceptable blood loss was registered during surgical intervention; no recurrences after liver metastasis ablation were observed in a period of 3 months; positioning of IVC filter was technically correct in 100% of patients; few complications, such as diffuse abdominal pain for pancreas, pneumothorax in the lung RCC metastasis and a post-RFA syndrome for the adrenal. There was a nodular recurrence along the ablation margin in one liver RCC metastasis. Inclusion criteria were relatively strict and only 22 patients were included in this study. The follow-up has been relatively short to date, so we are not certain of the long-term results, though these are comparable to those found in literature. It is possible to conclude that Interventional radiology plays an important role in RCC metastasis treatment, if we have few complications and improved outcomes.

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Plication of the Inferior Vena Cava for Pulmonary Embolism

Cited by 62 publications

References 7 publications

Surgical prevention of pulmonary embolism

Surgical prevention of pulmonary embolism

Upper extremity deep vein thrombosis treated by a filter in the superior vena cava placed intraoperatively to allow safe esophageal surgery: Report of a case

Current role of interventions in metastatic kidney tumors: single center experience

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