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肝后下腔静脉损伤:一种采用动脉支架移植物的新治疗方法。

Retrohepatic IVC injury: A new treatment approach with arterial stent graft.

作者信息

AlMulhim Johara, AlMutairi Bader, Qazi Shahbaz, Mohammed Mohammed F

机构信息

King Faisal University, Ahsa, Saudi Arabia.

NGHA, Riyadh, Saudi Arabia.

出版信息

Radiol Case Rep. 2020 Dec 23;16(3):560-563. doi: 10.1016/j.radcr.2020.12.046. eCollection 2021 Mar.

Abstract

Traumatic injuries to the inferior vena cava (IVC) are rare and among the most dreadful injuries encountered in evaluation of both penetrating and blunt traumatic settings. Clinical outcome of IVC injury is multifactorial with injuries being classically managed surgically. In this report, we present a case of 52 years old male patient with successfully treated blunt retrohepatic IVC injury utilizing arterial stent graft and anticoagulation regime without short-term complications. Evidence based standardized approach for endovascular management of IVC injury is not yet available. We hope that our report can contribute to worldwide procedure and postprocedural anticoagulation standardization.

摘要

下腔静脉(IVC)创伤性损伤较为罕见,是穿透性和钝性创伤评估中最可怕的损伤之一。IVC损伤的临床结果受多种因素影响,传统上通过手术治疗此类损伤。在本报告中,我们介绍了一例52岁男性患者,其钝性肝后IVC损伤通过动脉支架植入和抗凝方案成功治疗,且无短期并发症。目前尚无基于证据的IVC损伤血管内治疗标准化方法。我们希望我们的报告能有助于全球手术及术后抗凝的标准化。

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