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Case Reports
. 2021 Dec 24:37:100589.
doi: 10.1016/j.tcr.2021.100589. eCollection 2022 Feb.

Traumatic iliac vein rupture managed using a bare-metal stent

Jung Guen Cha  1 , Sang Yub Lee  1 , Jihoon Hong  1 , Jong Min Park  1 , Kyoung Hoon Lim  2 , Donghyeon Kim  3
Affiliations
Case Reports

Traumatic iliac vein rupture managed using a bare-metal stent

Jung Guen Cha et al. Trauma Case Rep. .

Abstract

Iliac vein rupture resulting from blunt trauma is rare but can be fatal and challenging to diagnose despite thorough clinical investigation and image workup. Here, we present a case of traumatic iliac vein rupture managed by emergent endovascular repair using a bare-metal stent. Low pressure traumatic venous rupture is different from arterial rupture, and a bare-metal stent can be a sufficient tool to control bleeding.

Keywords: Bare stent; Iliac vein rupture; Pelvic trauma; Stent graft.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Fig. 1
Fig. 1
Contrast-enhanced CT images. A: Initial CT scan. B: A day after embolization for arterial bleeding. The amount of hematoma around the distal left external iliac artery (yellow arrows) increased without contrast extravasation. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
Fig. 2
Fig. 2
Ascending venography via the left common femoral vein. A: Initial venography. Active contrast leakage at the distal external iliac vein (yellow arrow) and proximal stenosis (black arrow) due to compression by the hematoma and possible intimal injury was noted. B: Venography after bare-stent deployment. No contrast extravasation and venous outflow improvement was observed. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
Fig. 3
Fig. 3
Follow-up contrast-enhanced CT image six months after the procedure. Patent external iliac vein bare stent and resolution of previous left pelvic hematoma were noted.
See this image and copyright information in PMC

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