Atriocaval shunt - Wikipedia
An atriocaval shunt (ACS) is an intraoperative surgical shunt between the atrium of the heart and the inferior vena cava. It is used during the repair of larger juxtahepatic (next to the liver) vascular injuries such as an injury to the local vena cava.
Use of an Atriocaval Shunt in a Trauma Patient: First Reported …
The atriocaval shunt was first described by Schrock et al in 1968 as a means of controlling hemorrhage from this type of injury. 1 Herein, we report the successful use of an atriocaval shunt (ACS) in a trauma patient with a penetrating injury to the retrohepatic IVC. To the best of our knowledge this is the first reported case in Hawai‘i.
Liver Trauma - The Operative Review Of Surgery
Liver Trauma – Surgical Management. Exposure. Divide Falciform Ligament – Visualize Superior or Lateral Aspects. Divide Triangular Ligaments – Further Mobilize the Right/Left Lobes. If Stable Hematoma Noted Within Triangular Ligament: Do Not Enter. Concern for Hepatic Vein or …
Successful Treatment of Dual Juxtahepatic Inferior Vena Cava Injuries ...
The atriocaval shunt (“Shrock Shunt”), a method to control substantial hemorrhage due to hepatic vein, retrohepatic and/or suprahepatic vena cava injuries, remains the gold standard for isolating these injuries in order to provide an opportunity for vascular repair.
The atriocaval shunt. Facts and fiction. - PMC - National Center for ...
Abstract. During the past 11 years, 31 patients with major juxtahepatic venous injuries were treated with the atriocaval shunt. Penetrating injuries occurred in 27 patients (87%), and injuries from blunt trauma occurred in four patients. Shock was present on …
Strategies to Control Hemorrhage in the Trauma Patient
The atriocaval shunt (ACS, “Shrock Shunt”), a method to control substantial hemorrhage due to hepatic vein, retrohepatic, and/or suprahepatic vena cava injuries, is an infrequently used strategy to allow for cardiac perfusion during vascular repair . Initial management of posterior hepatic injuries with suspected retrohepatic IVC injury ...
Suprahepatic inferior vena cava avulsion repair with total hepatic ...
Traditionally, a Shrock shunt was used to attempt repair of these injuries but risk disruption associated with uncontrollable bleeding. Methods: Use of total hepatic isolation (THI) and cardiopulmonary bypass (CPB) for the repair of IVC injury following motor vehicle collision (MVC).
Retrohepatic Vena Caval Shunt | SpringerLink
The retrohepatic vena caval or atriocaval shunt is an intraluminal hollow tube inserted through the retrohepatic vena cava and designed to carry venous blood return from the lower half of the body and renal veins directly into the right atrium.
Successful Treatment of Dual Juxtahepatic Inferior Vena Cava …
2020年5月13日 · First proposed by Shrock et al. in 1968, atriocaval shunt placement remains the gold standard approach for the temporary bypass of these lesions by controlling bleeding from the...
Use of an Atriocaval Shunt in a Trauma Patient: First
First proposed by Shrock et al. in 1968, atriocaval shunt placement remains the gold standard approach for the temporary bypass of these lesions by controlling bleeding from the retrohepatic...