Treatment and prevention of Mobin-Uddin umbrella misplacement. 1978

H J Fee, and J H McAvoy, and T X O'Connell

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.

UI MeSH Term Description Entries
D011655 Pulmonary Embolism Blocking of the PULMONARY ARTERY or one of its branches by an EMBOLUS. Pulmonary Thromboembolism,Thromboembolism, Pulmonary,Embolism, Pulmonary,Embolisms, Pulmonary,Pulmonary Embolisms,Pulmonary Thromboembolisms,Thromboembolisms, Pulmonary
D012008 Recurrence The return of a sign, symptom, or disease after a remission. Recrudescence,Relapse,Recrudescences,Recurrences,Relapses
D012082 Renal Veins Short thick veins which return blood from the kidneys to the vena cava. Renal Vein,Vein, Renal,Veins, Renal
D002309 Cardiology The study of the heart, its physiology, and its functions. Angiology,Cardiovascular Disease Specialty,Vascular Medicine,Disease Specialty, Cardiovascular,Medicine, Vascular,Specialty, Cardiovascular Disease
D005260 Female Females
D005374 Filtration A process of separating particulate matter from a fluid, such as air or a liquid, by passing the fluid carrier through a medium that will not pass the particulates. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Filtrations
D005547 Foreign Bodies Inanimate objects that become enclosed in the body. Foreign Objects,Gossypiboma,Retained Surgical Instruments,Retained Surgical Items,Retained Surgical Needle,Retained Surgical Sponge,Retained Surgical Tools,Textiloma,Bodies, Foreign,Body, Foreign,Foreign Body,Foreign Object,Gossypibomas,Object, Foreign,Objects, Foreign,Retained Surgical Instrument,Retained Surgical Item,Retained Surgical Needles,Retained Surgical Sponges,Retained Surgical Tool,Surgical Instrument, Retained,Surgical Instruments, Retained,Surgical Item, Retained,Surgical Items, Retained,Surgical Needle, Retained,Surgical Needles, Retained,Surgical Sponge, Retained,Surgical Sponges, Retained,Surgical Tool, Retained,Surgical Tools, Retained,Textilomas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013927 Thrombosis Formation and development of a thrombus or blood clot in BLOOD VESSELS. Atherothrombosis,Thrombus,Blood Clot,Blood Clots,Thromboses

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