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Hunter vena cava balloon: Rationale and results

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1 Hunter vena cava balloon: Rationale and results
James A. Hunter, M.D., Giacomo A. DeLaria, M.D.  Journal of Vascular Surgery  Volume 1, Issue 3, Pages (May 1984) DOI: / (84) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

2 Fig. 1 Body cross section showing relationship of IVC to aorta, duodenum, and right ureter. (From Hunter JA, DeLaria GA, Goldin MD, Javid H, Najafi H, Serry C. Requirements for a method of transvenous inferior vena cava interruption. Arch Surg 1980;115: ) Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

3 Fig. 2 Photograph of IVC balloon occlusion device. Side stopcocks on handle permit intravenous infusion and venography with fluid exiting from ports in catheter just proximal to balloon. Stopcock at end of handle permits balloon distention through inflation needle inside outer catheter. Turning wheel on handle backs inflation needle out of balloon core and separates it. Balloon contents are retained by double-valve mechanism. Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

4 Fig. 3 X-ray films showing procedure for balloon placement. Left to right, top to bottom: Catheter is seen in right iliac vein; venogram shows anatomy and left iliac thrombus; balloon is round on initial inflation; balloon elongates and is molded by IVC; venogram confirms adequate balloon size and proper placement; catheter separates and is removed. (From Hunter JA, Dye WS, Javid H, Najafi H, Goldin MD, Serry C. Permanent transvenous balloon occlusion of the inferior vena cava. Ann Surg 1977;186:491-9.) Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

5 Fig. 4 Serial x-ray films show gradual deflation of balloon. Rounding of balloon occurs on day 4 as IVC accommodates to lateral pressure of balloon. Venogram at 6 months shows collapsing balloon and patent IVC above. (From Hunter JA, Dye WS, Javid H, Najafi H, Goldin MD, Serry C. Permanent transvenous balloon occlusion of the inferior vena cava. Ann Surg 1977;186:491-9.) Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

6 Fig. 5 Illustration showing thrombus on vena cava filter. Patient was suspected of having recurrent pulmonary embolism. (From Adelson J, Steer ML, Glotzer DJ, Skillman JJ, Simon M, Salzman EW. Thromboembolism after insertion of the Mobin-Uddin caval filter. Surgery 1980;87:184-9.) Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

7 Fig. 6 Illustration showing retroperitoneal migration of Greenfield filter and contact with transverse duodenum. (From Berland LL, Maddison FE, Bernhard VM. Radiologic follow-up of vena cava filter devices. Am J Roentgenol 1980;134: ) Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions


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