Vaillant A, Elkouby A, Malmejac C, Houel J
Presse Med. 1987 Feb 28;16(7):353-4.
An original technique used to remove obstructions of the inferior vena cava under cardiopulmonary bypass is described. This technique is indicated in pulmonary embolectomy or to dispose of a vena cava clot prolapsed into the right cardiac cavities. Through a rigid and blunt thoracic drain introduced via the right atrium, a Fogarthy venous catheter is pushed into the inferior vena cava, thus avoiding the risks of accidental passage into the supra-hepatic or renal veins and blockage in a thebesian valve. The catheter is inflated, then removed together with the drain, thereby freeing the caval lumen. The technique is reliable and reproducible, and it has proved very effective.
描述了一种在体外循环下用于清除下腔静脉阻塞的原创技术。该技术适用于肺动脉栓子切除术或处理脱垂至右心腔的腔静脉血栓。通过经右心房插入的硬钝头胸引管，将Fogarthy静脉导管推送至下腔静脉，从而避免意外进入肝上或肾静脉以及陷入Thebesian瓣的风险。导管充气后，与胸引管一起取出，从而使腔静脉管腔通畅。该技术可靠且可重复，已证明非常有效。
