An Experimental Model for the Treatment of Lethal Bleeding Injury to the Juxtahepatic Vena Cava With Stent Graft

Porta, Rina Maria Pereira; Poggetti, Renato Sérgio; Pereira, Osvaldo José Ribeiro; Chammas, Cristina; Fontes, Belchor; Fratezi, Ayrton Cássio; Birolini, D

doi:10.1097/01.ta.0000221350.64301.6e

Cited by 5 publications

(3 citation statements)

References 35 publications

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“…34 Perhaps most exciting is the application of stent grafts in the venous system. 35,36 One particularly challenging venous injury remains, the retrohepatic vena cava injury. In an effort to investigate the application of stent grafts for the treatment of this injury, Porta et al 35 developed a canine model of vena cava injuries.…”

Section: Endovascular Approachmentioning

confidence: 99%

“…35,36 One particularly challenging venous injury remains, the retrohepatic vena cava injury. In an effort to investigate the application of stent grafts for the treatment of this injury, Porta et al 35 developed a canine model of vena cava injuries. In this study, the authors demonstrated technical feasibility as well as 100% survival for animals rescued with stent graft placement after endovascular injury of their inferior vena cava.…”

Section: Endovascular Approachmentioning

confidence: 99%

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Venous Trauma: New Lessons and Old Debates

Qi¹,

Gillespie²

2011

Perspectives in Vascular Surgery and Endovascular Therapy

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Historically, epidemiology, diagnosis, and management of venous trauma have not been well understood. Venous injuries often have subtle presentations, unclear consequences, and debatable treatment options. Many venous injuries are asymptomatic and are diagnosed only during surgical exploration for other injuries. The obvious venous injury is the one found during surgical exploration of an arterial trauma. Isolated venous injuries are difficult to diagnose and often only discovered if massive swelling or life-threatening hemorrhage occurs. Once discovered, the question is how to treat: ligation or repair. The answer is the prudent use of both methods. For patients at the brink of hemodynamic collapse, ligation is the best choice. For stable patients, an effort should be made to reestablish venous outflow. Definitive repair in unstable patients should not attempted, instead temporary solutions should be used that will allow the patient to leave the operating room quickly and began correction of hypothermia, acidosis, and coagulopathy.

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Section: Endovascular Approachmentioning

confidence: 99%

Section: Endovascular Approachmentioning

confidence: 99%

Venous Trauma: New Lessons and Old Debates

Qi¹,

Gillespie²

2011

Perspectives in Vascular Surgery and Endovascular Therapy

View full text Add to dashboard Cite

show abstract

“…Other types of shunts were successful. Porta et al 9 used the stent graft for the treatment of JHC injuries in dogs, and Watarida et al 10 reported successfully using a fenestrated stent graft in a patient with an RHC injury. These cases suggest that the stent graft may be practical for treating this type of injury.…”

mentioning

confidence: 98%