Endovascular Treatment of Iatrogenic Iliac Artery Disruption in Lumbar Disc Surgery

被引：19
作者：
Wu, Ching-Yang [1 ]
Hung, Yen-Ni [2 ]
Liu, Yun-Hen [1 ]
Ko, Po-Jen [1 ]
机构：
[1] Chang Gung Univ, Dept Thorac & Cardiovasc Surg, Chang Gung Mem Hosp, Tao Yuan 333, Taiwan
[2] Natl Yang Ming Univ, Inst Publ Hlth, Taipei 112, Taiwan
来源：
ANNALS OF VASCULAR SURGERY | 2009年 / 23卷 / 02期
关键词：
VASCULAR COMPLICATIONS; SPINAL INSTRUMENTATION; STENT-GRAFT; PSEUDOANEURYSM; DISKECTOMY; EXCLUSION; FISTULA; INJURY;
D O I：
10.1016/j.avsg.2008.02.014
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Major vessel (aorta or iliac vessels) injury is a rare yet catastrophic complication of spinal surgery. Prompt diagnosis is vital for effectively treating these injuries. A 56-year-old female with iliac artery iatrogenic injury during lumbar discectomy was successfully treated by percutaneous placement of a self-expanding stent graft in an emergent setting in an angiography suite. Post-procedural angiogram demonstrated complete exclusion of the pseudoaneurysm without contrast agent leakage. Endovascular treatment is suggested as an excellent alternative to open surgery for iatrogenic great vessel injuries, particularly in critical conditions.
引用
收藏
页码：255.e7 / 255.e11
页数：5
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