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James A. Hunter, MD; Giacomo A. DeLaria, MD; Marshall D. Goldin, MD; Hushang Javid, MD; Hassan Najafi, MD; Cyrus Serry, MD

Arch Surg. 1980;115(11):1324-1330.

Abstract
• Six requirements were defined that would characterize a safe and effective technique of transvenous inferior vena cava (IVC) interruption: (1) the instrument should be placed transjugularly under local anesthesia; (2) the instrument should have "built-in" capability for venography; (3) the technique should produce complete occlusion of the IVC; (4) the occluder must adapt to any variable in IVC diameter; (5) the intracaval device must have no sharp edges, pins, or points; and (6) the technique must permit simultaneous heparin therapy. These specifications were met by a catheter-delivered detachable balloon that could be inflated to any needed diameter. This technique was used in 96 patients, with a follow-up period to ten years. Time and experience confirm the validity of the six requirements for a safe and effective technique.

(Arch Surg 115:1324-1330, 1980)

Author Affiliations
From the Department of Cardiovascular-Thoracic Surgery, Rush-Presbyterian-St Luke's Medical Center, Chicago.

Footnotes
Accepted for publication July 21, 1980.

Read before the 28th scientific meeting of the International Cardiovascular Society, Chicago, June 27, 1980.

Reprint requests to 1725 W Harrison, Suite 850, Chicago, IL 60612 (Dr Hunter).

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