Insertion of a retrohepatic vena cava balloon shunt through the saphenofemoral junction.
Vascular control of the injured retrohepatic vena cava is invariably a surgical challenge. Herein, we describe the technical aspects of inserting a vena cava balloon shunt through the saphenofemoral junction. The advantages of this approach include relative simplicity, maintenance of perihepatic tamponade, and avoiding emergent thoracotomy in the critically injured patient.
McAnena
O J
OJ
Department of Surgery, Denver General Hospital, Colorado 80204-4507.
Moore
E E
EE
Moore
F A
FA
D021721:Balloon Occlusion; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D005268:Femoral Vein; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008099:Liver / Q000293:injuries / Q000601:surgery; D012501:Saphenous Vein; D014682:Vena Cava, Inferior / Q000293:injuries* / Q000601:surgery