Journal of vascular surgery. Venous and lymphatic disorders · 2026
Use of cover stent as treatment of iatrogenic iliac vein injury: Case series and review of the literature.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Liu Fanyun, Chen Fuwen, Luo Hailong, Qi Xiaotong, Sun Jianming, Chen Yikuan
Аннотация
OBJECTIVE: Iatrogenic iliac vein injury is an exceedingly rare complications but is associated with high mortality rates. Repair or ligation is the most common treatment and is technically demanding. An alternative technique is endovascular placement of a covered stent grafting across the injured segment. We study a series of patients with iatrogenic iliac vein injury treated with cover stent and review the available literature on this technique.
METHODS: The PubMed database was systematically searched up to September 2025 for studies focusing on endovascular repair of iatrogenic iliac vein injury. Inclusion criteria were restricted to adult patients (aged >18 years) with iatrogenic iliac vein injury. Exclusion criteria included studies addressing endovascular repair for traumatic or spontaneous venous rupture, pathologies involving the iliocaval confluence or arteriovenous fistulas, as well as repair procedures using coil embolization, bare-metal stents, or open surgical techniques. Two reviewers independently completed literature screening and data extraction. Data were extracted for the following parameters: interventional approach, stent type and size, technical success, postprocedural pharmacologic management, complications, and surveillance strategy.
RESULTS: From the initial search of approximately 5781 records, 16 studies were finally identified for analysis. All reports consisted of case report or case series. A total of 25 patients had been treated with various covered stent grafts and achieved technical success. Three perioperative complications occurred: two acute thrombus formations and one case of stenosis caudal to the stent edge requiring additional stenting. The postoperative anticoagulation strategy was highly heterogeneous. The perioperative mortality rate was 4%. The median follow-up was 5 months (range 0.25-84 months).
CONCLUSIONS: For iatrogenic iliac vein injuries, covered stent grafts can be an effective method at securing urgent hemostasis and demonstrate excellent short-term patency.
METHODS: The PubMed database was systematically searched up to September 2025 for studies focusing on endovascular repair of iatrogenic iliac vein injury. Inclusion criteria were restricted to adult patients (aged >18 years) with iatrogenic iliac vein injury. Exclusion criteria included studies addressing endovascular repair for traumatic or spontaneous venous rupture, pathologies involving the iliocaval confluence or arteriovenous fistulas, as well as repair procedures using coil embolization, bare-metal stents, or open surgical techniques. Two reviewers independently completed literature screening and data extraction. Data were extracted for the following parameters: interventional approach, stent type and size, technical success, postprocedural pharmacologic management, complications, and surveillance strategy.
RESULTS: From the initial search of approximately 5781 records, 16 studies were finally identified for analysis. All reports consisted of case report or case series. A total of 25 patients had been treated with various covered stent grafts and achieved technical success. Three perioperative complications occurred: two acute thrombus formations and one case of stenosis caudal to the stent edge requiring additional stenting. The postoperative anticoagulation strategy was highly heterogeneous. The perioperative mortality rate was 4%. The median follow-up was 5 months (range 0.25-84 months).
CONCLUSIONS: For iatrogenic iliac vein injuries, covered stent grafts can be an effective method at securing urgent hemostasis and demonstrate excellent short-term patency.