Fee H J, McAvoy J H, O'Connell T X
Arch Surg. 1978 Mar;113(3):331-2. doi: 10.1001/archsurg.1978.01370150103026.
Interruption of the blood flow in the inferior vena cava by a Mobin-Uddin umbrella has become a popular method of preventing recurrent pulmonary emboli. Although infrequent, complications are significant. An umbrella device was inserted in the right renal vein of a patient; the management of this complication is discussed. Immediate operative removal of the device with renal vein repair is recommended. Postoperative intravenous pyelogram and frequent urinalyses should be obtained to document continued renal vein patency and adequate renal function. Occurrence of this complication can be minimized by using a preinsertion cavogram to define anomalies of the venous system. Also, recent availability of an applicator that permits venacavography at the time of umbrella insertion should be of great assistance.
使用莫宾 - 乌丁伞阻断下腔静脉血流已成为预防复发性肺栓塞的常用方法。虽然并发症不常见，但后果严重。本文讨论了将伞形装置植入患者右肾静脉后该并发症的处理。建议立即手术取出装置并修复肾静脉。术后应进行静脉肾盂造影和频繁的尿液分析，以证明肾静脉持续通畅和肾功能正常。通过术前腔静脉造影来明确静脉系统异常，可将该并发症的发生率降至最低。此外，最近出现的一种在植入伞形装置时可进行腔静脉造影的器械应会有很大帮助。
