Intra-abdominal Inferior Vena Cava Injuries: Operative Strategies and Outcomes. Issue 8 (August 2021)

• Record Type: Journal Article
• Authors: Castater, Christine A.; Carlin, Margo; Parker, Virginia S.; Sciarretta, Chris; Koganti, Deepika; Nguyen, Jonathan; Grant, April A.; Smith, Randi N.; Ramos, Christopher R.; Sciarretta, Jason D.; Dente, Christopher J.; Rajani, Ravi; Todd, Samual R.
• Is Part Of: American surgeon. Volume 87:Issue 8(2021)
• Page Start: 1316
• Page End: 1326
• Publication Date: 2021-08
• Subjects: trauma -- trauma acute care -- vascular surgery; Surgery -- Periodicals; Surgery -- United States -- Periodicals; 617.0973
• DOI: 10.1177/0003134820973395
• Languages: English
• ISSNs: 0003-1348

Abstract

Visceral vascular injuries are relatively uncommon even in busy urban trauma centers. The inferior vena cava (IVC) is the most frequently injured visceral vein and can be a complex operative challenge. Despite advances in early volume resuscitation, improved transport times, prompt operative intervention, and hemorrhage control, mortality rates have remained largely unchanged. This article conducts an in-depth review of the literature surrounding IVC injuries and a detailed discussion of operative strategies and management as survivability is ultimately dependent on the grade of injury, location, and the presence of hemorrhagic shock.