Endovascular stent-graft deployment: temporary vena caval occlusion with balloons to control aortic blood flow-experimental canine study and initial clinical experience.
Vena caval occlusion was evaluated in animal experiments. In five patients with thoracic aortic aneurysms, two balloon catheters were introduced via the femoral vein to the inferior vena cava and superior vena cava and inflated before stent-graft deployment. Aortic pressure and flow were immediately decreased, which minimized the downstream shift of the stent-grafts. Temporary vena caval occlusion is safe and effective for precise aortic stent-graft deployment.
Ishiguchi
T
T
Department of Radiology, First Department of Surgery, Nagoya University School of Medicine, 65 Tsurumai-cho, Showaku, Nagoya 466-8550, Japan. ishiguti@met.nagoya-u.ac.jp
Nishikimi
N
N
Usui
A
A
Ishigaki
T
T
D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D001011:Aorta / Q000503:physiopathology*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001783:Blood Flow Velocity / Q000502:physiology; D001794:Blood Pressure / Q000502:physiology; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D002406:Catheterization, Peripheral; D002496:Central Venous Pressure / Q000502:physiology; D002560:Cerebrovascular Circulation / Q000502:physiology; D004195:Disease Models, Animal; D004285:Dogs; D005260:Female; D005268:Femoral Vein; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D012039:Regional Blood Flow / Q000502:physiology; D012449:Safety; D015607:Stents; D013997:Time Factors; D014682:Vena Cava, Inferior / Q000502:physiology; D014683:Vena Cava, Superior / Q000502:physiology