This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (66)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Joseph M. Graham, MD; Kenneth L. Mattox, MD; Arthur C. Beall, Jr, MD; Michael E. DeBakey, MD

Arch Surg. 1978;113(4):413-418.

Abstract
• Three hundred and one patients with injury to the inferior vena cava have been treated over the past 30 years. Penetrating injuries predominated, with gunshot injury in 228 patients. The inferior vena cava was injured above the renal veins in 84 patients. One hundred and forty-eight patients had shock, 55 without palpable pulse or blood pressure. Vascular repair was accomplished in 234 patients. Ligation or packing was performed in 32 patients. Thirty-five patients died prior to vascular control or repair. Placement of intravascular shunts or occluding balloons was utilized in 25 patients. Mortality has decreased from a high of 100% in 1955 to 30% during the last six years of this experience. Reduction in mortality probably has resulted from shortened wounding to therapy intervals with more effective resuscitation and vascular control.

(Arch Surg 113:413-418, 1978)

Author Affiliations
From the Department of Surgery (Drs Graham, Mattox, Beall, and DeBakey), Baylor College of Medicine, and the Emergency Surgical Services (Dr Mattox), Ben Taub General Hospital, Houston.

Footnotes
Accepted for publication on Dec 12, 1977.

Read before the 85th annual meeting of the Western Surgical Association, Las Vegas, Nov 15, 1977.

Reprint requests to 1200 Moursund Ave, Houston, TX 77030 (Dr Mattox).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Control of Inferior Vena Cava Injury Using Percutaneous Balloon Catheter Occlusion
Bui and Mills
VASC ENDOVASCULAR SURG 2009;43:490-493.
ABSTRACT  

Blunt Trauma Injury of the Caval Junction: A Case Treated with PTFE Patch Angioplasty
Cangiotti et al.
VASC ENDOVASCULAR SURG 1994;28:563-569.
ABSTRACT  

Results of Venous Reconstruction After Civilian Vascular Trauma
Pasch et al.
Arch Surg 1986;121:607-611.
ABSTRACT