Endovascular Stent Can Be the Treatment of Choice for Spontaneous Iliac Vein Rupture: A Case Report

Chen, Yen-Cheng; Huang, Chih-Hsin; Huang, Jau‐Shyang

doi:10.1177/1538574417739090

Cited by 11 publications

(9 citation statements)

References 14 publications

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“…We found a total of 53 cases mostly consisting of isolated case reports with Google search. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] . Jiang et al reported a series of 9 J o u r n a l P r e -p r o o f cases although in 4 of these patients, there were no imaging studies or operative findings to confirm iliac vein rupture .…”

Section: Discussionmentioning

confidence: 99%

“…We found a total of 53 cases, which were mostly from isolated case reports, using a Google search. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 Jiang et al 5 reported a series of nine patients, although for four of these patients, no imaging studies or operative findings to confirm iliac vein rupture were reported. Of these 53 cases, 14 patients died, for a mortality rate of 26.4%.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous iliac vein rupture: An uncommon, but frequently lethal, event

McCready

Kiell

Webb

2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Spontaneous iliac vein rupture: An uncommon, but frequently lethal, event

McCready

Kiell

Webb

2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…In these cases, covered stents were employed (Adams MK et al 2012 ). In one case, external iliac vein rupture was repaired with an endovascular stent and open laparotomy for abdominal decompression (Chen YC et al 2018 ).…”

Section: Discussionmentioning

confidence: 99%

Embolization for massive bleeding due to spontaneous left external iliac vein rupture: report of a successful case

2021

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Background Spontaneous rupture of the iliac vein has rarely been reported. Its associated hypovolemic shock-related symptoms and signs, including syncope and hypotension, have been observed in most of these cases. Successful transcatheter venous embolization for massive bleeding due to spontaneous rupture of the external iliac vein was herein reported. Case presentation An 82-year-old female patient developed sudden left lower abdominal and back pain. Immediately, she lost consciousness and went into shock. CT images of her abdomen revealed a huge retroperitoneal hematoma, with leakage of contrast medium in the hematoma in the left flank. These findings suggested left external iliac vein rupture. Open surgery was considered; however, since the patient’s condition may have deteriorated further due to the time needed to prepare for surgery, including general anesthesia, transcatheter venous embolization of the left iliac vein was selected. A 5.2-Fr compliant balloon catheter (nominal diameter of 10 mm) was inflated at the distal site of the external iliac vein to reduce extravasation. N-butyl-2-cyanoacrylate (NBCA) was mixed with Lipiodol at a ratio of 1:2. The left Iliac vein was filled and completely embolized with the NBCA/Lipiodol mixture (total injected volume, 5 mL) using a 1.8-Fr microcatheter. After embolization, the patient quickly. An inferior vena cava filter was placed 1 day after embolization. Conclusion Spontaneous rupture of the iliac vein is a very rare and lethal condition. Transcatheter venous embolization may control potentially life-threatening bleeding. Rapid bleeding control in a critical condition is facilitated by this minimally invasive approach.

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“…Surgical intervention is needed in the majority of the cases. So far, only 2 patients received endovascular treatment [7 , 8] . This disease has never been imaged in a study before.…”

Section: Introductionmentioning

confidence: 99%