| Partial right atrial inflow occlusion for controlled systemic hypotension during thoracic endovascular aortic repair. | |
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MedLine Citation:
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PMID: 18644496 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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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Authors:
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W Anthony Lee; Tomas D Martin; Nikolaus Gravenstein |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of vascular surgery Volume: 48 ISSN: 1097-6809 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-07-22 Completed Date: 2008-08-22 Revised Date: 2012-10-03 |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 494-8 Citation Subset: IM |
Affiliation:
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Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville, Fla, USA. anthony.lee@surgery.ufl.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Aneurysm, Dissecting / radiography, therapy* Angiography / methods Angioplasty / adverse effects, methods* Aortic Aneurysm, Thoracic / radiography, therapy* Balloon Occlusion / methods* Blood Vessel Prosthesis Implantation / adverse effects, methods* Cohort Studies Combined Modality Therapy Female Follow-Up Studies Heart Atria Heart Catheterization / methods Humans Hypotension, Controlled / instrumentation, methods* Male Middle Aged Regional Blood Flow / physiology Risk Assessment Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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