Perhoniemi V, Salmenkivi K, Kivisaari A, Hästbacka J
Ann Chir Gynaecol. 1986;75(6):325-7.
In 1967-1983 31 patients underwent surgical interruption of the inferior vena cava (IIVC) with ligation, and in 1984-1985 five patients were treated by IIVC with clipping (Adams-de Weese clip). The early adverse effects in the legs and complications were studied, and all five IIVC patients with clipping underwent isotope phlebography. The most serious early complication was sudden death on the 9th postoperative day after ligation. In one half of the affected legs moderate or severe oedema was found after the ligation. After clipping early adverse effects in the legs were minimal, and isotope phlebography showed an open inferior vena cava in all cases; only in one patient were collateral veins found past the inferior cava. It is concluded that when IIVC is indicated clipping is the optimal surgical method. IIVC with ligation is indicated only in septic embolism.
1967年至1983年期间，31例患者接受了下腔静脉结扎术以阻断血流；1984年至1985年期间，5例患者接受了下腔静脉夹闭术（亚当斯-德威斯夹）。对腿部的早期不良反应和并发症进行了研究，所有5例接受夹闭术的下腔静脉患者均接受了同位素静脉造影。最严重的早期并发症是结扎术后第9天突然死亡。在一半的患侧腿部，结扎术后发现中度或重度水肿。夹闭术后腿部的早期不良反应最小，同位素静脉造影显示所有病例的下腔静脉均通畅；仅1例患者在下腔静脉远端发现侧支静脉。得出的结论是，当下腔静脉阻断术有指征时，夹闭术是最佳手术方法。下腔静脉结扎术仅适用于脓毒性栓塞。
