Long-term Results of the Heparin-Bonded Viabahn Stent Graft in Femoropopliteal TASC C and D Lesions With a Covered Stent Length of Minimum 25 cm

Abstract

The majority of patients with spontaneous retroperitoneal or rectus sheath hematomas are receiving anticoagulation. In this series, only 16% underwent intervention; but in other series, 20% to 40% of patients underwent surgery or endovascular treatment. I agree with the authors' findings. When patients are unstable or the hemoglobin level continues to drop, and especially if a CT scan shows active extravasation, we would recommend selective arteriography of feeding arteries, and if there is active extravasation, endovascular or surgical intervention should be performed. Otherwise, they usually stop on their own, especially if anticoagulation can be discontinued.