Retrohepatic IVC injury: A new treatment approach with arterial stent graft

Abstract

Traumatic injuries to the inferior vena cava (IVC) are rare and among the most dreadful injuries encountered in evaluation of both penetrating and blunt traumatic settings. Clinical outcome of IVC injury is multifactorial with injuries being classically managed surgically. In this report, we present a case of 52 years old male patient with successfully treated blunt retrohepatic IVC injury utilizing arterial stent graft and anticoagulation regime without short-term complications. Evidence based standardized approach for endovascular management of IVC injury is not yet available. We hope that our report can contribute to worldwide procedure and postprocedural anticoagulation standardization.

Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report

“…Concomitant injuries are common in patients with RHIVC, and most patients exhibit high-grade liver injury (3). Contained RHIVC injury has been reportedly treated with nonoperative management or arterial stent grafting, although hemodynamically unstable patients require surgical treatment (6,7). Surgeries for treating RHIVC injuries are very difficult.…”

Endovascular repair of a traumatic inferior vena cava injury after exploratory laparotomy

“…There is a paucity of literature on treatment alternatives, including conservative management 3 . There are no clear society-based guidelines to dictate the role of endovascular therapy 4,5,6 . We present a unique, complex clinical situation wherein an endovascular stent graft was utilized for traumatic injury of the IVC.…”

“… 3 No clear society-based guidelines are available to dictate the role of endovascular therapy for IVC injuries. 4 , 5 , 6 …”