title: Temporary balloon occlusion of the inferior vena cava as an alternative to cardiopulmonary bypass in resection of Wilms' tumour with vena cava extension.
abstract: Up to 10% of patients undergoing nephrectomy for Wilms' tumour have tumour thrombus involving the vena cava. A new radiological technique is described utilising a temporary occlusion balloon inserted via an open venotomy of the left internal jugular vein into the retro-hepatic cava to create a bloodless field to facilitate surgery.
authors.affiliation: Department of Radiology, Birmingham Children's Hospital NHS Trust, UK.
authors.forename: W M
authors.initials: WM
authors.lastname: Adams
authors.forename: L
authors.initials: L
authors.lastname: Huskisson
authors.forename: P
authors.initials: P
authors.lastname: Gornall
authors.forename: P R
authors.initials: PR
authors.lastname: John
mesh_terms: D002315:Cardiopulmonary Bypass; D002404:Catheterization; D002648:Child; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D009392:Nephrectomy; D014463:Ultrasonography; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D009396:Wilms Tumor / Q000473:pathology / Q000601:surgery*