Endovascular Stenting for a Crush Injury of the Common Femoral Artery Followed by Open Repair of Unveiled External Iliac Vein Injury after a Horse Fall
| Autor: | Dong-Hyun Kim, Won Gong Chu, Je Hyung Park, Su-kyung Kwon, Jin-Ho Mun, Sang Su Lee |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Nonpenetrating injuries
medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system Femoral vein Case Report Femoral artery 030204 cardiovascular system & hematology 030230 surgery Groin 03 medical and health sciences 0302 clinical medicine medicine.artery medicine Iliac vein External iliac vein business.industry lcsh:RC633-647.5 Horse Femoral fracture lcsh:Diseases of the blood and blood-forming organs medicine.disease Surgery medicine.anatomical_structure lcsh:RC666-701 Endovascular procedures Crush injury Open repair Cardiology and Cardiovascular Medicine business |
| Zdroj: | Vascular Specialist International Vascular Specialist International, Vol 36, Iss 3, Pp 180-185 (2020) |
| ISSN: | 2288-7989 2288-7970 |
| Popis: | Accurate diagnosis and management of a femoral vascular injury is important as it is a life-threatening injury with high morbidity and mortality. This is the case of a 75-year-old man admitted to the emergency room with trauma to the right groin due to a horse fall. Computed tomography showed active bleeding of the femoral artery without pelvic or femoral fracture. We inserted a stent-graft, but hypotension persisted. Exploration of the groin was completed, and the bleeding from the external iliac vein was identified and repaired. In conclusion, vascular injury is rare in groin trauma without associated fracture, however, arterial and venous injury should not be completely ruled out. Endovascular therapy is worth recommending as a quicker and safer management than surgery in patients with active bleeding in the femoral artery. However, the possibility of combined injury of the femoral vein should be suspected in case of ongoing hemodynamic instability. |
| Databáze: | OpenAIRE |
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