Vena cava occlusion with balloon to control blood pressure during deployment of transluminally placed endovascular graft

American Journal of Surgery
N NishikimiY Nimura

Abstract

Transluminally placed endovascular graft (TPEG) replacement has been applied to treat various aortic diseases. At the moment of deployment, TPEG receives a pressure pulse force to shove it distally, which possibly results in misplacement. Moreover, deploying the TPEG in the aorta increases cardiac afterload, which may damage myocardial function. To avoid these risks, we developed a new technique to control blood pressure by almost complete venous return occlusion. Two occlusion balloon catheters are inserted into the superior and inferior vena cava via the femoral vein. TPEG is deployed at the proper position during inflation of the vena cava balloon to maintain a blood pressure as low as 60 mm Hg by cardiac preload blockage. We, thus far, have not experienced even a trivial sequela with this technique.

Citations

Nov 18, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Yuko SatoYasuhiro Shimada
Apr 2, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Bettina MartyLudwig Karl von Segesser
Jul 6, 2000·The Annals of Thoracic Surgery·L KapoorS Singh
Dec 24, 2011·Seminars in Cardiothoracic and Vascular Anesthesia·Omid JazaeriT Brett Reece

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