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Iliac Vein Injuries

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Clinical Review of Vascular Trauma

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Abstract

Iliac vein injuries are highly lethal and present a substantial challenge to manage. They account for ~5% of cardiovascular injuries following trauma and are difficult to diagnose and repair due to their location deep in the pelvis. A high index of suspicion must be maintained to make a rapid diagnosis and have a chance at repair. Injury most frequently follows penetrating trauma, but iliac vein damage can also result from blunt force. Injuries are frequently associated with concomitant injury to the bowel and bladder with mortality following repair ranging between 20% and 50%. Iliac vein injuries may either be repaired surgically with lateral venorrhaphy or ligation. Additionally, endovascular repair techniques are a promising adjunct to open repair. The following text will review the causes, diagnosis, and management of iliac vein injuries.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Virginia, Charlottesville, VA, USA

    William F. Johnston MD & Nicolas H. Pope MD

  2. Division of Vascular and Endovascular Surgery, Department of Surgery, Molecular Physiology and Biological Physics, University of Virginia, Charlottesville, VA, USA

    Gilbert R. Upchurch Jr. MD

Authors
  1. William F. Johnston MD
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  2. Nicolas H. Pope MD
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  3. Gilbert R. Upchurch Jr. MD
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Corresponding author

Correspondence to Gilbert R. Upchurch Jr. MD .

Editor information

Editors and Affiliations

  1. Department of Surgery MSB 5.030, Center for Translational Injury Research, Houston, Texas, USA

    Anahita Dua

  2. Department of Surgery, University of Texas-Houston Duke University School of Medicine, Houston, Texas, USA

    Sapan S. Desai

  3. Department of Surgery, University of Texas-Houston, Houston, Texas, USA

    John B. Holcomb

  4. Department of Orthopedics, University of Texas-Houston, Houston, Texas, USA

    Andrew R. Burgess

  5. Department of Surgery, John Hopkins Medical Institutions, Baltimore, Maryland, USA

    Julie Ann Freischlag

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© 2014 Springer-Verlag Berlin Heidelberg

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Johnston, W.F., Pope, N.H., Upchurch, G.R. (2014). Iliac Vein Injuries. In: Dua, A., Desai, S., Holcomb, J., Burgess, A., Freischlag, J. (eds) Clinical Review of Vascular Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39100-2_20

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  • DOI: https://doi.org/10.1007/978-3-642-39100-2_20

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-39099-9

  • Online ISBN: 978-3-642-39100-2

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