Partial right atrial inflow occlusion for controlled systemic hypotension during thoracic endovascular aortic repair

Journal of Vascular Surgery
W Anthony LeeNikolaus Gravenstein

Abstract

Controlled hypotension is sometimes necessary for accurate endograft deployment and adjunctive ballooning and stenting near the arch and proximal descending thoracic aorta. This article describes a technique in which a compliant occlusion balloon inflated in the right atrium is used to occlude the inflow from the inferior vena cava and reduce the cardiac preload. This reliably and effectively induces systemic hypotension to any desired level and is also able to be rapidly reversed. The technique has been used in 11 cases of thoracic endovascular aortic repairs with complete success and no procedure-related complications.

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Citations

Apr 22, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Georgios L TagarakisJohn G Augoustides
Jun 6, 2012·Annals of Vascular Surgery·Bruce H GraySteven Z Lysak
Oct 26, 2011·Annals of Vascular Surgery·Marvin E MorrisJoe Chauvupun
Sep 22, 2009·Seminars in Vascular Surgery·Robert J Feezor, W Anthony Lee
Apr 4, 2009·Journal of Vascular Surgery·Lefeng Qu, Dieter Raithel
Jan 25, 2011·The Annals of Thoracic Surgery·Constance W LeeW Anthony Lee
Feb 1, 2011·Journal of Vascular Surgery·Ralf R KolvenbachMarkus Meyer-Gaessner
Apr 19, 2011·Journal of Vascular Surgery·Giancarlo CiresW Charles Sternbergh
Oct 26, 2011·Seminars in Cardiothoracic and Vascular Anesthesia·Brant W UlleryAlbert T Cheung
Dec 24, 2011·Seminars in Cardiothoracic and Vascular Anesthesia·Omid JazaeriT Brett Reece
Jul 16, 2010·Seminars in Cardiothoracic and Vascular Anesthesia·George Nicolaou, Thomas L Forbes
Dec 3, 2016·Der Anaesthesist·T RösselT Koch
Feb 26, 2021·Scientific Reports·Esben Søvsø Szocska HansenWon Yong Kim
Mar 13, 2021·Cardiovascular and Interventional Radiology·L C PietersenC S P van Rijswijk
Mar 30, 2021·JACC. Basic to Translational Science·Daniel W KaiserClayton A Kaiser
Jun 20, 2020·The Thoracic and Cardiovascular Surgeon·Roman GottardiMartin Czerny
Aug 27, 2021·Annals of Vascular Surgery·Ulugbek NegmadjanovW Anthony Lee

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