Endovascular stent-graft deployment: temporary vena caval occlusion with balloons to control aortic blood flow-experimental canine study and initial clinical experience

T Ishiguchi; N Nishikimi; A Usui; T Ishigaki

doi:10.1148/radiology.215.2.r00ap19594

Endovascular stent-graft deployment: temporary vena caval occlusion with balloons to control aortic blood flow-experimental canine study and initial clinical experience

Radiology. 2000 May;215(2):594-9. doi: 10.1148/radiology.215.2.r00ap19594.

Authors

T Ishiguchi¹, N Nishikimi, A Usui, T Ishigaki

Affiliation

¹ Department of Radiology, First Department of Surgery, Nagoya University School of Medicine, 65 Tsurumai-cho, Showaku, Nagoya 466-8550, Japan. [email protected]

PMID: 10796944
DOI: 10.1148/radiology.215.2.r00ap19594

Abstract

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.

MeSH terms

Aged
Aged, 80 and over
Animals
Aorta / physiopathology*
Aortic Aneurysm, Abdominal / surgery
Aortic Aneurysm, Thoracic / surgery
Blood Flow Velocity / physiology
Blood Pressure / physiology
Blood Vessel Prosthesis Implantation / methods*
Catheterization / instrumentation
Catheterization / methods*
Catheterization, Peripheral
Central Venous Pressure / physiology
Cerebrovascular Circulation / physiology
Disease Models, Animal
Dogs
Female
Femoral Vein
Follow-Up Studies
Foreign-Body Migration / prevention & control
Humans
Male
Middle Aged
Regional Blood Flow / physiology
Safety
Stents*
Time Factors
Vena Cava, Inferior* / physiology
Vena Cava, Superior* / physiology