Use of Advanced Endovascular Techniques for Management of an Iatrogenic Iliac-Vein Injury

Abstract Background: Iatrogenic vascular injury during gynecologic surgery can be a serious complication. In addition to the risks of hemorrhage and death, this type of injury places patients at risk for postoperative thrombosis. Case: A patient sustained an iatrogenic vascular injury and underwent primary repair. Subsequently, the patient developed postoperative thrombosis at the site of repair. Results: The patient was then managed successfully with catheter-directed thrombolysis (CDT). Conclusions: According to current guidelines, recent surgery is considered to be a contraindication to CDT. However, the safe use of limited CDT with adjunctive mechanical thrombectomy in this case after recent surgery, suggests consideration of this option in similar cases. (J GYNECOL SURG 28:134)