ArticleJournal of vascular surgery cases and innovative techniques2025
Cardiopulmonary bypass as adjunct for repair of iliac vein confluence injury.
Article in Journal of vascular surgery cases and innovative techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Best of 2025: Venous disease.Journal of vascular surgery cases and innovative techniques · 2026Article
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5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This report discusses the management of iatrogenic injuries to the iliac vein confluence that occurred during open aortic reconstruction in two patients. Both patients underwent open aortic reconstruction via a midline transperitoneal approach with suprarenal aortic control during which injuries to the common iliac vein occurred that propagated to the confluence. The injuries were repaired using cardiopulmonary bypass with mild to moderate hypothermia to control blood flow and blood pressure, allowing for optimal exposure and visualization of the injuries for successful repair. The low-flow/low-pressure state, along with drop suction tips in the injured vein segment, facilitated visualization of the injury, enabling patch angioplasty. Additionally, the immediate return of lost blood mitigated the adverse effects of massive blood loss and transfusion requirements. Mild to moderate hypothermia also provided protection against ischemic neurological injury. Cardiopulmonary bypass may serve as a life-saving adjunct in managing this highly lethal complication.
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