Emergency Treatment of Iliocaval Vein Injury With an Aortic Unibody Stent Graft

Inferior vena cava injury has high mortality rate, and this novel approach may allow iliocaval repair in a successful and rapid manner. Moreover, the unibody endograft is suitable for reconstructing the IVC and both iliac veins simultaneously, showing great adaptability to the venous system.Clinical ImpactThis case suggests a new, although experimental, path for addressing severe venous traumas. The innovation lies in demonstrating that an "off-label" unibody aortic endograft can provide a minimally invasive option for highly complex ilio-caval confluence ruptures, where few other solution exist, potentially improving outcomes in these challenging scenarios.