Work

A delayed venous repair strategy after penetrating vascular trauma

Year: 2025

Type: article

Abstract: We describe a patient with an external iliac artery and vein injury managed initially with arterial shunting and vein ligation because of hemodynamic instability. The patient underwent a delayed interposition bypass grafts of both external iliac artery and vein. Long-term outcomes were good despite development of postoperative venous thromboembolism. Although it is thought that venous ligation, often completed in a damage-control scenario, precludes venous repair, this case shows a staged approach to venous repair may decrease postoperative morbidity. Further investigation is needed to determine the role of delayed venous repair in improving outcomes.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.101799

Authors: Sahil Patel, Shahabal Khan, Tripti Mathur, Camille Jackson, Shahram Aarabi

Institutions: University of California, San Francisco, University of Illinois Chicago

Language: English

Topic: Vascular Procedures and Complications

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250