ArticleJACC. Case reports2025
Diagnosis and Management of Inadvertent Iliac Vein Injury During Structural Heart Interventions.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Use of cover stent as treatment of iatrogenic iliac vein injury: Case series and review of the literature.Journal of vascular surgery. Venous and lymphatic disorders · 2026Review
- In vitro and in vivo validation of a novel 3D-printed vessel anastomosis device for microvascular surgery.Scientific reports · 2026Article
- Endovascular repair of iliac vein perforation during trans-septal mitral valve-in-valve replacement: a case report.European heart journal. Case reports · 2025Article
- Crossover Buddy Wire-Assisted Delivery of Steerable Guide Catheter.JACC. Case reports · 2025Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Femoral venous access is increasingly used by structural interventional cardiologists in procedures such as patent foramen ovale, atrial septal defect, and left atrial appendage closure, as well as tricuspid and mitral interventions. Containing less muscular and elastic fibers than arteries, veins are fragile structures that are more easily pierced than arteries. In this case series, we present 2 cases of iliac vein perforation during structural cardiology interventions. Even mild resistance on advancement of a large sheath should prompt suspicion of venous perforation, in which case control angiography should be performed at the end of the procedure, after withdrawal of the sheath distal to the suspected perforation site. In case of venous breach, implantation of a peripheral artery-dedicated covered stent can efficiently seal the perforation. This forethought can allow the avoidance of severe complications such as retroperitoneal hemorrhage.
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