title: Synergy between stents and extracorporeal membrane oxygenation in multitrauma patients with inferior vena cava injury.
abstract: Despite the lack of evidence in the literature, we report the case of a 25-year-old man involved in a road traffic accident, who had an inferior vena cava (IVC) injury and severe lung contusion with parenchymal bleeding requiring an extracorporeal membrane oxygenation (ECMO). An emergency procedure to implant a stent graft was successful in repairing the IVC injury. Moreover, we think that ECMO, in addition to providing oxygenation, reduced bleeding by creating a negative pressure along the injured IVC. The patient was decannulated on the eighth day and discharged 31 days after the accident.
authors.affiliation: Department of Cardiac Surgery, Louis Pradel Hospital, Hospices Civils de Lyon (HCL), Bron, France.
authors.forename: Sara
authors.initials: S
authors.lastname: Filippini
authors.forename: Olivier
authors.initials: O
authors.lastname: Desebbe
authors.forename: Delphine
authors.initials: D
authors.lastname: Gamondes
authors.forename: Roland
authors.initials: R
authors.lastname: Henaine
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D008297:Male; D011859:Radiography; D012128:Respiratory Distress Syndrome / Q000601:surgery; D015607:Stents; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*
keywords: Acute respiratory distress syndrome; Bleeding; Endovascular procedures/stents; Extracorporeal membrane oxygenation; Inferior vena cava injury