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Intraluminal balloon catheter occlusion for major vena cava injuries
Insights
Control bleeding from inferior vena cava (IVC) lacerations using a novel balloon catheter technique. This method minimizes dissection and blood loss, proving effective and life-saving in three trauma cases.
Area of Science:
- Vascular Surgery
- Trauma Management
- Interventional Radiology
Background:
- Inferior vena cava (IVC) lacerations present significant surgical challenges.
- Traditional methods risk increased blood loss and iatrogenic injury from vascular clamps and extensive dissection.
Observation:
- Three cases of IVC lacerations were managed using a minimally invasive technique.
- Balloon catheters were inserted proximally and distally through the laceration to control bleeding.
Findings:
- The balloon catheter technique allowed for rapid and effective hemorrhage control.
- Minimal further dissection was required, simplifying the repair process.
- All three patients survived the procedure.
Implications:
- This balloon catheter approach offers a valuable alternative for managing IVC injuries.
- It reduces operative risks associated with conventional methods.
- The technique is recommended for prompt and efficient control of bleeding in IVC lacerations.
Abstract:
Obtaining control of bleeding inferior vena caval (IVC) lacerations poses problems such as iatrogenic tears with vascular clamps and/or increased blood loss due to dissection and mobilization. We present three cases where balloon catheters were introduced through the laceration proximally and distally to obtain control of bleeding followed by repair with very minimal further dissection. All patients survived. This technique is recommended for rapid, effective control of such injuries.