Use of an endovascular occlusion balloon for control of unremitting venous hemorrhage.
This report describes a new approach for management of iliac vein injury. These injuries are often difficult to expose, and the associated hemorrhage further hinders visualization and subsequent repair. In this case, the use of an endovascular balloon from groin access controlled venous hemorrhage and permitted a primary repair of a torn left iliac vein. We believe that this approach is unique in that it uses a compliant, low-pressure balloon, thus preventing further iatrogenic injury in otherwise fragile venous structures and allowing direct access to the tear when exposure in the operative field is limited.
Department of General Surgery, Vascular Surgery Division, Ohio State University Medical Center, Columbus, Ohio 43210, USA. bryan.tillman@osumc.edu
Bryan W
BW
Tillman
Patrick S
PS
Vaccaro
Jean E
JE
Starr
B Mohan
BM
Das
D000368:Aged; D021721:Balloon Occlusion / Q000295:instrumentation*; D004867:Equipment Design; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D007049:Iatrogenic Disease; D017543:Iliac Aneurysm / Q000601:surgery*; D007084:Iliac Vein / Q000293:injuries* / Q000601:surgery; D008297:Male; D011312:Pressure; D012421:Rupture; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*; D014947:Wounds and Injuries / Q000150:complications / Q000209:etiology / Q000601:surgery / Q000628:therapy*