| Autor: |
Watarida, Shoji, Nishi, Takao, Furukawa, Akira, Shiraishi, Shoichiro, Kitano, Haruhisa, Matsubayashi, Keiji, Imura, Masato, Yamazaki, Michio |
| Zdroj: |
Journal of Endovascular Therapy; February 2002, Vol. 9 Issue: 1 p134-137, 4p |
| Abstrakt: |
Purpose: To report the use of a fenestrated stent-graft to manage a traumatic rupture of the juxtahepatic inferior vena cava (IVC).Case Report: A 62-year-old man was involved in a traffic accident and hospitalized for severe right leg fractures. Computed tomography also uncovered liver contusion and retroperitoneal hematoma. The next day, he became hemodynamically unstable; a huge retroperitoneal hematoma had developed from a rupture of the juxtahepatic IVC. An emergent procedure to implant a self-expanding fenestrated stent-graft was successful in repairing the IVC injury and maintaining hepatic venous return. The patient recovered and continues in good health with a patent endograft 16 months after treatment.Conclusions: This experience supports the efficacy of fenestrated endograft implantation for emergent repair of IVC injuries, although proper facilities, an experienced interventional team, and an assortment of devices must be available. |
| Databáze: |
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