Department of Radiology, Kobe Red Cross Hospital, Kobe, Japan.
Jpn J Radiol. 2012 Oct;30(8):680-3. doi: 10.1007/s11604-012-0100-9. Epub 2012 Jul 3.
Isolated iliac vein injury caused by blunt pelvic trauma is a rare condition that is difficult to diagnose and often fatal. We report a case of a 52-year-old female who presented with life-threatening isolated iliac vein injury caused by blunt pelvic trauma that was successfully managed with endovascular uncovered stent placement. Although further studies are warranted to clarify the hemostatic mechanism, uncovered stent placement can be considered as an alternative treatment option to covered stent placement for life-threatening iliac vein injury when a covered stent is not rapidly available.
由钝性骨盆创伤引起的孤立性髂静脉损伤是一种罕见的疾病,很难诊断,且常导致死亡。我们报告了一例 52 岁女性患者,因钝性骨盆创伤导致危及生命的孤立性髂静脉损伤,成功地通过血管内无覆盖支架置入术进行治疗。尽管还需要进一步的研究来阐明止血机制,但当无法迅速获得带膜支架时,无覆盖支架置入术可作为一种替代治疗选择,用于治疗危及生命的髂静脉损伤。