Endovascular Treatment of Late Aortic Erosive Lesion by Pedicle Screw without Screw Removal: Case Report and Literature Review

被引：4
作者：
Zerati, Antonio Eduardo [1 ]
Diamante Leiderman, Dafne Braga [1 ]
Jacobsen Teixeira, William Gemio [2 ]
Narazaki, Douglas Kenji [2 ]
Cristante, Alexandre Fogaca [3 ]
Wolosker, Nelson [4 ,5 ]
de Luccia, Nelson [6 ]
Pessoa Barros Filho, Tarcisio Eloy [3 ]
机构：
[1] Univ Sao Paulo, Fac Med, Inst Canc Estado Sao Paulo, Endovasc & Vasc Surg, Sao Paulo, Brazil
[2] Univ Sao Paulo, Fac Med, Hosp Clin,Spine Surg Div, Inst Ortopedia & Traumatol,Spinal Tumors, Sao Paulo, Brazil
[3] Univ Sao Paulo, Fac Med, Hosp Clin,Spine Surg Div, Inst Ortopedia & Traumatol,Lab Med Invest, Sao Paulo, Brazil
[4] Univ Sao Paulo, Fac Med, Vasc Surg, Sao Paulo, Brazil
[5] Hosp Israelita Albert Einstein, Sao Paulo, Brazil
[6] Univ Sao Paulo, Fac Med, Dept Vasc Surg, Sao Paulo, Brazil
来源：
ANNALS OF VASCULAR SURGERY | 2017年 / 39卷
关键词：
ANTERIOR SPINAL INSTRUMENTATION; THORACIC AORTA; INJURY; SURGERY; RUPTURE; DEVICE; REPAIR; PSEUDOANEURYSM; INTERVENTION; PENETRATION;
D O I：
10.1016/j.avsg.2016.06.020
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background: Aortic lesions are uncommon complications in spine surgery, but potentially fatal, because they can cause massive bleeding and hemodynamic instability. We report the endovascular treatment of late aortic erosive lesion by pedicle screw without screw removal. Methods: A breast cancer patient had a pathological fracture on T10, with spinal cord compression, and a pseudoaneurysm of the aorta in contact with an anterolateral pedicle screw. Endovascular surgery corrected the aortic lesion and allowed decompression, a week later, by posterior arthrodesis (T7-L1), with screw maintenance. Results: There was no contrast leakage at thorax angiotomography in 2 years, and she died of meningeal carcinomatosis. Conclusion: Screw maintenance was safe in the endovascular treatment of aortic lesion by erosion.
引用
收藏
页码：285.e17 / 285.e21
页数：5
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