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Thromboembolism and cancer: Treatment with the Hunter balloon

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1 Thromboembolism and cancer: Treatment with the Hunter balloon
Giacomo A. DeLaria, M.D., James A. Hunter, M.D., Cyrus Serry, M.D., Marshall D. Goldin, M.D.  Journal of Vascular Surgery  Volume 1, Issue 5, Pages (September 1984) DOI: / (84) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

2 Fig. 1 As is shown here, the majority of patients with venous thromboembolism and cancer have diffuse or metastatic cancer and not localized disease. 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 There were three indications for inferior vena cava interruption. Recurrent pulmonary embolus was the most common indication. 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 of a 62-year-old patient with metastatic colon cancer and functioning hepatic infusion pump are shown. Recurrent pulmonary embolus, despite heparin and sodium warfarin (Coumadin) anticoagulation, required inferior vena cava interruption. Right: Postocclusion venogram. Balloon is positioned below renal veins. 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 Diagram of Hunter balloon catheter device used for transvenous inferior vena cava interruption. Side stopcocks permit heparin infusion and venography during balloon placement. Contrast material exits through venogram ports near catheter tip. Stopcock at end of handle permits balloon infusion. Turning extraction wheel withdraws inflation needle and separates balloon. 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


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