Management of IVC Injury: Repair or Ligation? A Propensity Score Matching Analysis Using the National Trauma Data Bank

Matsumoto, Shokei; Jung, Kyoungwon; Smith, Alan; Coimbra, Raúl

doi:10.1016/j.jamcollsurg.2018.01.043

Cited by 31 publications

(30 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Primary repair of suprarenal IVC is the preferred surgical method, the option of IVC ligation can be used at life-saving situations. Ligation is associated with similar mortality rate according to propensity score matching with significant complication rates [5]. Location of the vena cava injury is an important predictor for survival.…”

Section: Discussionmentioning

confidence: 99%

A Successful Management of Supra-Renal Inferior Vena Cava Injury Following Penetrating Trauma: A Case Report

Mohamed¹,

Eraslan²

2020

TOUNJ

View full text Add to dashboard Cite

Penetrating trauma of the abdominal Inferior Vena Cava remains a life-threatening injury. Nearly half of patients with an injury of abdominal Inferior Vena Cava die before reaching the hospital. This makes injuries of IVC often fetal and the management of these injuries is usually challenging. Early hospital transfer, prompt diagnosis, rapid bleeding control and diminishing shock period remain significantly important factors that improve the survival rate. We report a successful surgical management of suprarenal inferior vena cava injury case and associated organ injuries following a stab knife wound.

show abstract

Section: Discussionmentioning

confidence: 99%

A Successful Management of Supra-Renal Inferior Vena Cava Injury Following Penetrating Trauma: A Case Report

Mohamed¹,

Eraslan²

2020

TOUNJ

View full text Add to dashboard Cite

show abstract

“…[ 16 ] Compared with vena cava reconstruction/repair, ligation was associated with significantly higher complication rates of extremity compartment syndrome. [ 17 , 18 ] Considering the local economy and health conditions, repeated complications and treatment will increase the burden on patients. Recently, many scholars have proposed a strategy that combines resection and reconstruction to improve the resection rate and curative effect of surgery in the condition of infringement on large blood vessels.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, many scholars have proposed a strategy that combines resection and reconstruction to improve the resection rate and curative effect of surgery in the condition of infringement on large blood vessels. [ 18 – 21 ] Thus, the method of reconstruction and choice of alternative blood vessel allograft are important factors affecting the safety of surgery and the prognosis of patients. [ 22 ] Due to the issue of alternative blood vessels, it is common to use artificial/autologous/allogeneic blood vessels.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of extensive hepatic alveolar echinococcosis using a three-dimensional visualization technique combined with allograft blood vessels

Wang

Zhi

et al. 2020

Medicine

View full text Add to dashboard Cite

Rationale: Hepatic alveolar echinococcosis (HAE) presents a high pathogenicity and case fatality rate. The main treatment for HAE is surgical resection. Giant lesions in the liver and invasion of the pathogen into the retrohepatic inferior vena cava are usually associated with a poor prognosis when radical resection cannot be performed. Patient concerns: A 56-year-old man who underwent hydatidectomy 7 years prior noted a recurrence of HAE. He was subsidized and admitted to our hospital for the purpose of surgical treatment. Diagnosis: By computed tomography, angiography and three-dimensional (3D) computed tomography reconstruction images, multiple, giant HAE with 75% stenosis was confirmed. Interventions: With the 3D visualization technique, we designed the surgical plan and performed radical resection of the lesions, including the invaded inferior vena cava, and maximized retention of normal liver tissue. The abdominal aorta of an organ donor was used for vascular allograft reconstruction. Outcomes: The patient recovered gradually after the operation. He was followed up for 3 months, and the reconstructed vein patency was good. Lessons: The 3D visualization technique combined with a blood vessel allograft allowed us to expand indications for radical resection of extensive HAE.

show abstract

“…Although we selected two similar hospitals in the hospital sample and could easily select treatment groups from the EHRs, some characteristics of the control group may not be consistent with those of the treatment group. To solve this shortcoming, we used propensity score matching (PSM) to build a more suitable control group [23]. The PSM method is widely used to estimate the impact of policy interventions on health outcomes, whilst randomised controlled trials are not feasible.…”

Section: Methodsmentioning

confidence: 99%

Does County-Level Medical Centre Policy Influence the Health Outcomes of Patients with Trauma Transported by the Emergency Medical Service System? An Integrated Emergency Model in Rural China

Chen

Gao

et al. 2019

IJERPH

View full text Add to dashboard Cite

This study aimed to assess the effect of the county-level medical centre policy on the health outcomes of trauma patients transported by emergency medical service (EMS) system in rural China. The methodology involved the use of electronic health records (EHRs, after 2016) of patients with trauma conditions such as head injury (n = 1931), chest (back) injury (n = 466), abdominal (waist) injury (n = 536), and limb injury (n = 857) who were transported by EMS to the county-level trauma centres of Huining County and Huan County in Gansu, China. Each patient was matched with a counterpart to a county-level trauma centre hospital by propensity score matching. Cox proportional hazard models were used to estimate the hazard ratios (HRs) of such patients in different hospitals. The HRs of all patients with the abovementioned traumatic conditions transported by EMS to county-level trauma centre hospitals were consistently higher than those transported by EMS to traditional hospitals after adjusting for numerous potential confounders. Higher HRs were associated with all patients with trauma (HR = 1.249, p < 0.001), head injury (HR = 1.416, p < 0.001), chest (back) injury (HR = 1.112, p = 0.560), abdominal (waist) injury (HR = 1.273, p = 0.016), and limb injury (HR = 1.078, p = 0.561) transported by EMS to the county-level trauma centre hospitals. Our study suggests that the construction of county-level medical centre provides an effective strategy to improve the health outcomes of EMS-transported trauma patients in Gansu, China. Policy makers can learn from the experience and improve the health outcomes of such patients through a personalised trauma treatment system and by categorizing the regional trauma centre.

show abstract

Management of IVC Injury: Repair or Ligation? A Propensity Score Matching Analysis Using the National Trauma Data Bank

Cited by 31 publications

References 14 publications

A Successful Management of Supra-Renal Inferior Vena Cava Injury Following Penetrating Trauma: A Case Report

A Successful Management of Supra-Renal Inferior Vena Cava Injury Following Penetrating Trauma: A Case Report

Surgical treatment of extensive hepatic alveolar echinococcosis using a three-dimensional visualization technique combined with allograft blood vessels

Does County-Level Medical Centre Policy Influence the Health Outcomes of Patients with Trauma Transported by the Emergency Medical Service System? An Integrated Emergency Model in Rural China

Contact Info

Product

Resources

About