Abstract • Transvenous placement of a Mobin-Uddin vena cava umbrella filter is a safe and effective method of vena cava interruption in high-risk patients who cannot undergo laparotomy. When the renal veins enter the vena cava acutely, there may be preferential passage of the filter insertion device into the aberrant renal veins. If the usual maneuvers of changing the patient's position do not correct this aberrant passage, then a venous thrombectomy catheter may be used to temporarily occlude the vein orifice. This technique avoids the problems of incorrect placement and abandonment of the transvenous approach to vena cava interruption. (Arch Surg 114:752-753, 1979) References 1. Fee HJ, McAvay JH, O'Connell TX: Treatment and prevention of Mobin-Uddin umbrella misplacement . Arch Surg 113:331-332, 1978.Crossref 2. Sher MH: Complications in the application of the inferior vena cava umbrella technique . Arch Surg 103:688-690, 1971.Crossref 3. Edwards Laboratories. Mobin-Uddin Vena Cava Umbrella Filter: Clinical Report. Santa Ana, Calif, Edwards Laboratories, 1977. 4. Riggs OE: Venocavography relative to umbrella filter placement . Radiology 105:450-451, 1972.Crossref 5. McConnell D, Mulder D, Buckberg G: The placement of vena cava umbrella filters . Arch Surg 108:789-791, 1974.Crossref 6. Hublitz UF, Slomka AG, Marcello DE: Correct, safe and successful insertion of the inferior vena cava umbrella filter . Radiology 105:448-449, 1972.Crossref
Archives of Surgery – American Medical Association
Published: Jun 1, 1979
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