Inferior vena cava dissection following blunt abdominal trauma

Vaidya, Sandeep; Bhargava, Puneet; Marder, Carrie P.; Dighe, Manjiri

doi:10.1007/s10140-010-0864-0

Cited by 10 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Inferior vena cava (IVC) injuries lead to high rates of morbidity and mortality. Studies reported that more than one-third of patients with an IVC injury has a mortality rate of more than 60 % after admission to hospital (14,15). Accordingly, hemodynamic status and prompt identi cation of bleeding source are in focus when treating patients suffering from abdominal vascular injuries (16).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Outcome of Abdominal Vascular Injury in Severe Trauma Patients – An International Registry Analysis

Barbati¹,

Hildebrand²,

Andruszkow³

et al. 2021

Preprint

View full text Add to dashboard Cite

BackgroundAbdominal vascular injuries and the resulting hemorrhagic shock are still one of the main causes of death in trauma patients. This study details the etiology, frequency and effect of major vessel lesions of the abdomen in patients after polytrauma.Patients and methodsAll patients of TraumaRegister DGU® who met the following criteria were included: online documentation of European trauma centers, age 16-85 years, presence of abdominal vascular injury, and AIS ≥ 3. Patients were divided in three groups based on the type of vessel injuries: arterial injury only, venous injury only, mixed arterial and venous injuries.ResultsA total of 2949 patients met the inclusion criteria. A blunt mechanism of abdominal vascular injuries was more frequent in all three groups. All types of vessel injuries were more prevalent in patients with relevant abdominal trauma followed by relevant thoracic trauma. On admission to hospital the rate of patients with shock were the same in patients with arterial injury alone (n= 606, 33%) and venous injury alone (n=95, 32%). Patients with venous injury alone or together with arterial injuries had higher early (within first 24h) mortality rates (isolated arterial injury OR: 1.31; 95%, CI 1.14-1.50, p<0.001; isolated venous injury OR: 1.48; 95%, CI 1.10-1.98, p=0.010) and also in-hospital mortality.ConclusionAbdominal arterial injury and venous injury were equally responsible for the rate of hemodynamic instability at the time of admission. However, the proportion of adverse outcome during hospital stay was significantly higher in patients with venous injury. Stable patients suspected of abdominal vascular injuries should be further investigated to exclude or localize the possible retroperitoneal hematoma caused by subtle venous injury.

show abstract

Section: Discussionmentioning

confidence: 99%

Prevalence and Outcome of Abdominal Vascular Injury in Severe Trauma Patients – An International Registry Analysis

Barbati¹,

Hildebrand²,

Andruszkow³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Inferior vena cava (IVC) injuries lead to high rates of morbidity and mortality. Studies reported that more than one-third of patients with an IVC injury has a mortality rate of more than 60% after admission to hospital 19 , 20 . Accordingly, hemodynamic status and prompt identification of bleeding source are in focus when treating patients suffering from abdominal vascular injuries 1 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence and outcome of abdominal vascular injury in severe trauma patients based on a TraumaRegister DGU international registry analysis

Barbati

Hildebrand

Andruszkow

et al. 2021

Sci Rep

View full text Add to dashboard Cite

This study details the etiology, frequency and effect of abdominal vascular injuries in patients after polytrauma based on a large registry of trauma patients. The impact of arterial, venous and mixed vascular injuries on patients’ outcome was of interest, as in particular the relevance of venous vessel injury may be underestimated and not adequately assessed in literature so far. All patients of TraumaRegister DGU with the following criteria were included: online documentation of european trauma centers, age 16–85 years, presence of abdominal vascular injury and Abbreviated Injury Scale (AIS) ≥ 3. Patients were divided in three groups of: arterial injury only, venous injury only, mixed arterial and venous injuries. Reporting in this study adheres to the STROBE criteria. A total of 2949 patients were included. All types of abdominal vessel injuries were more prevalent in patients with abdominal trauma followed by thoracic trauma. Rate of patients with shock upon admission were the same in patients with arterial injury alone (n = 606, 33%) and venous injury alone (n = 95, 32%). Venous trauma showed higher odds ratio for in-hospital mortality (OR: 1.48; 95% CI 1.10–1.98, p = 0.010). Abdominal arterial and venous injury in patients suffering from severe trauma were associated with a comparable rate of hemodynamic instability at the time of admission. 24 h as well as in-hospital mortality rate were similar in in patients with venous injury and arterial injury. Stable patients suspected of abdominal vascular injuries should be further investigated to exclude or localize the possible subtle venous injury.

show abstract

“…In cases of known post-traumatic IVC thrombosis, there are two reports of IVC filter placement via the right internal jugular approach, including a suprarenal filter that was retrieved after 8 weeks. 9 , 10 Suprarenal IVC filters have also been placed without significant complications in patients with recurrent pulmonary embolism due to non-traumatic IVC thrombosis extending to or above the renal veins and in patients with renal or gonadal vein thrombosis. 11 Recent advances in filter designs and increasing experience in filter retrieval make suprarenal IVC filters a feasible choice in the correct clinical settings.…”

Section: Discussionmentioning

confidence: 99%

Inferior vena cava thrombus secondary to blunt abdominal trauma

et al. 2017

View full text Add to dashboard Cite

A 15-year-old female presented to the emergency department of a level 1 trauma centreafter being involved in a high-speed motor vehicle accident. The patient underwent a contrast-enhanced CT scan of the abdomen and pelvis obtained with a 60–70 s delay as part of the institution’s polytrauma protocol. The CT scan demonstrated multiple hepatic lacerations and a filling defect in the suprahepatic inferior vena cava adjacent to the cavoatrial junction. Inferior vena cava thrombus secondary to blunt abdominal trauma is extremely rare, and to our knowledge, this is the first reported case of acute thrombus diagnosed by CT at the time of initial injury. There is limited literature on management of this entity. Possible treatments range from conservative approaches to anticoagulation and placement of IVC filters.

show abstract

Inferior vena cava dissection following blunt abdominal trauma

Cited by 10 publications

References 16 publications

Prevalence and Outcome of Abdominal Vascular Injury in Severe Trauma Patients – An International Registry Analysis

Prevalence and Outcome of Abdominal Vascular Injury in Severe Trauma Patients – An International Registry Analysis

Prevalence and outcome of abdominal vascular injury in severe trauma patients based on a TraumaRegister DGU international registry analysis

Inferior vena cava thrombus secondary to blunt abdominal trauma

Contact Info

Product

Resources

About