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Long-term follow-up of vena caval clips and umbrellas.

Authors
Type
Published Article
Journal
The American Journal of Surgery
0002-9610
Publisher
Elsevier
Publication Date
Volume
134
Issue
2
Pages
205–208
Identifiers
PMID: 889032
Source
Medline
License
Unknown

Abstract

Fifty-one consecutive cases of inferior vena caval interruption for documented pulmonary embolism are reported. Forty-four patients underwent transabdominal vena caval clipping using the multichannel Adams-DeWeese clip, and seven critically ill patients were treated with vena caval umbrella. Operative mortality was 4 per cent. Only one patient developed edema attributable to clipping whereas postinterruption stasis sequelae were common after umbrella insertion. Vena cavography at six months and eight years demonstrated 85 per cent patency in the clip group and 16 per cent in the umbrella group.

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