We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Vena Cava Clip Plication

Arch Surg. 1966;92(6):940-942. doi:10.1001/archsurg.1966.01320240128027.
Text Size: A A A
Published online

IN THE middle of the 19th century Rudolph Virchow was the first to describe pulmonary emboli and to understand their origin in the femoral and pelvic veins.1 However, it was not until 1910 that Trendelenberg first ligated the inferior vena cava as definitive treatment for the prevention of pulmonary embolism.2 By 1948, there were only 48 cases reported.3,4

Caval ligation has been used as a last resort and a life-saving measure but has never gained wide popularity because of its postoperative sequelae of edema, arteriospastic phenomena, fibrosis, and ulceration of the lower extremities.5-9 This prompted many investigators to search for other methods which would prevent pulmonary embolism but without the unpleasant sequelae of caval ligation.7 Ligation of the inferior vena cava with absorbable ligatures with the hope that the cava would reopen after the acute phase was unreliable and unpredictable.10,11

A one loop straight


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.