Impact of inferior vena cava ligation on mortality in trauma patients

AbstractObjectiveInferior vena cava (IVC) injuries are potentially lethal and require prompt intervention. Repair of complex IVC injuries may require the use of a prosthetic graft or a complicated panel or spiral vein graft reconstruction to avoid the need for ligation. Collateral venous drainage ma...

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Bibliographic Details
Published in:Journal of vascular surgery. Venous and lymphatic disorders (New York, NY) NY), 2019-11, Vol.7 (6), p.793-800
Main Authors: Byerly, Saskya, MD, Cheng, Vincent, MD, Plotkin, Anastasia, MD, Matsushima, Kazuhide, MD, Inaba, Kenji, MD, Magee, Gregory A., MD, MSc
Format: Article
Language:English
Subjects:
IVC
Ligation
Repair
Surgery
Trauma
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Summary:AbstractObjectiveInferior vena cava (IVC) injuries are potentially lethal and require prompt intervention. Repair of complex IVC injuries may require the use of a prosthetic graft or a complicated panel or spiral vein graft reconstruction to avoid the need for ligation. Collateral venous drainage may be sufficient to allow acceptable results from IVC ligation; however, previous studies have suffered from low numbers and have differing results. The aims of this study were to assess the outcomes of isolated IVC injuries overall and to compare IVC ligation with repair. MethodsPatients in the National Trauma Data Bank from 2007 to 2014 with an IVC injury were evaluated. Isolated IVC injury was defined as patients with nonvascular Abbreviated Injury Scale scores 
ISSN:2213-333X
2213-3348
DOI:10.1016/j.jvsv.2019.06.013