Temporary balloon occlusion of the inferior vena cava as an alternative to cardiopulmonary bypass in resection of Wilms' tumour with vena cava extension.
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.
Adams
W M
WM
Department of Radiology, Birmingham Children's Hospital NHS Trust, UK.
Huskisson
L
L
Gornall
P
P
John
P R
PR
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*