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Uptodate Reference Title
Complex penetrating liver injury
Complex penetrating liver injury
(A) Complex penetrating liver injury; (B) combined open and endovascular liver isolation with REBOA, REBOVC, and Pringle maneuver. The open and endovascular liver isolation is achieved performing the REBOA in zone 1 and REBOVC at the level of the retrohepatic vena cava with the goal of achieving proximal and distal vascular control of a possible retro/suprahepatic vessel injury. The Pringle maneuver is obtained via the hepatoduodenal ligament clamping.
REBOA: resuscitative endovascular balloon occlusion of the aorta; REBOVC: resuscitative endovascular balloon occlusion of the vena cava.