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- S L Beal and R E Ward.
- Department of Surgery, University of California School of Medicine, Sacramento.
- Am. J. Surg. 1989 Nov 1; 158 (5): 409-13.
AbstractOver a 3-year period, 519 patients underwent laparotomy for liver injuries. Nine (2 percent) required insertion of an atrial caval catheter to control hemorrhage from perihepatic venous injuries. In three cases, the shunt arrested the hemorrhage, allowing successful surgical repair of the venous injuries. From a careful analysis of our experience, we have identified common errors made in shunt placement, developed a modified atrial caval catheter, and have simplified the surgical technique for insertion.
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