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Vascular and Endovascular Surgery
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Control of Inferior Vena Cava Injury Using Percutaneous Balloon Catheter Occlusion

Trung D. Bui, MD

Vascular Surgery, University of Arizona, Tucson, Arizona, tbui{at}surgery.arizona.edu

Joseph L. Mills, MD, FACS

Vascular Surgery, University of Arizona, Tucson, Arizona

Traumatic inferior vena cava (IVC) injuries are highly lethal and require prompt surgical intervention. Traditional methods of vascular control include manual compression, gentle clamping or balloon occlusion catheters. These open methods require direct dissection into the hematoma for visualization, which can lead to massive hemorrhage. We present a case of percutaneously delivered balloon catheter occlusion for vascular control prior to repair of an infrarenal IVC injury as a potential alternative. This approach achieves complete occlusion of the injury site and allow easier repair of the IVC, thereby reducing operative time and blood loss.

Key Words: inferior vena cava injury • endovascular • balloon catheter

This version was published on October 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 5, 490-493 (2009)
DOI: 10.1177/1538574409339939
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