Role of endovascular management on outcomes in patients with traumatic inferior vena cava injuries

The aim of this study was to examine the association between the injury mechanism and repair type with outcomes in patients with traumatic inferior vena cava injuries. This is a retrospective analysis of the ACS-TQIP database (2017–2020), including patients with traumatic IVC injuries. Patients were...

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Bibliographic Details
Published in:The American journal of surgery 2024-12, Vol.238, p.115836, Article 115836
Main Authors: O'Connor, Devin, Hejazi, Omar, Colosimo, Christina, Stewart, Collin, Hosseinpour, Hamid, Khurshid, Muhamad, Nelson, Adam C., Joseph, Bellal, Bhogadi, Sai K., Anand, Tanya, Spencer, Audrey L., Magnotti, Louis J.
Format: Article
Language:English
Subjects:
Adult
Blood pressure
Blunt/penetrating trauma
Cardiovascular system
Endovascular Procedures - methods
Fabric analysis
Female
Gender
Hospital Mortality
Humans
Injuries
Injury analysis
Laparotomy
Male
Middle Aged
Morbidity
Mortality
Open vs endovascular repair
Patients
Regression analysis
Retrospective Studies
Surgeons
Thromboembolism
Trauma
Treatment Outcome
Vascular System Injuries - mortality
Vascular System Injuries - surgery
Vena cava injuries
Vena Cava, Inferior - injuries
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - mortality
Wounds, Nonpenetrating - surgery
Wounds, Nonpenetrating - therapy
Wounds, Penetrating - complications
Wounds, Penetrating - mortality
Wounds, Penetrating - surgery
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Summary:The aim of this study was to examine the association between the injury mechanism and repair type with outcomes in patients with traumatic inferior vena cava injuries. This is a retrospective analysis of the ACS-TQIP database (2017–2020), including patients with traumatic IVC injuries. Patients were stratified by injury mechanism and type of repair and compared. Out of 1334 patients, 5 ​% underwent endovascular repair while 95 ​% had an open procedure. Overall, 74.7 ​% sustained a penetrating injury. On multivariable regression analysis, the type of repair was not associated with mortality and morbidity for patients with penetrating injuries. However, among patients with blunt injuries, endovascular repair was associated with lower odds of in-hospital mortality (aOR:0.35, p ​= ​0.020) and non-venous thromboembolism (VTE) morbidity (aOR:0.41, p ​= ​0.015), and higher odds of VTE complications (aOR:6.74, p ​
ISSN:0002-9610
1879-1883
1879-1883
DOI:10.1016/j.amjsurg.2024.115836