Perioperative thrombotic occlusion of left external iliac artery during anterior lumbar interbody fusion

被引：0
作者：
Jen-Hsuan Huang
Cheng-Hung Lee
Tzung-chieh Tsai
Shih-Yen Peng
机构：
[1] Taichung Veterans General Hospital,Department of Anesthesiology
[2] Taichung Veterans General Hospital,Department of Orthopaedic Surgery
[3] Yang Ming Hospital,Department of Anesthesiology
来源：
Archives of Orthopaedic and Trauma Surgery | 2008年 / 128卷
关键词：
Lumbar surgery; Anterior lumbar interbody fusion; Vascular complications; Iliac artery thrombosis;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
We report a case of thrombotic occlusion of left external iliac artery during the procedure of anterior lumbar interbody fusion. The diagnosis was confirmed by computed tomography angiography. The patient also developed severe rhabdomyolysis postoperatively. In spite of receiving emergent thromboendarterectomy, the patient expired on postoperative day 3. This report attempts to remind spinal surgeons and anesthesiologists of this rare but potentially fatal complication, and discuss the possible mechanism, management, and prevention.
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页码：1107 / 1110
页数：3
相关论文
共 64 条
[1]  
Akar H(2001)Comparison of histopathologic effects of carnitine and ascorbic acid on reperfusion injury Eur J Cardiothorac Surg 19 500-506
[2]  
Sarac A(1993)Vascular injury in anterior lumbar surgery Spine 18 2227-2230
[3]  
Konuralp C(2002)The pathophysiology of skeletal muscle ischemia and reperfusion syndrome: a review Cardiovasc Surg 10 620-630
[4]  
Yildiz L(2004)Vascular injury during anterior lumbar surgery Spine J 4 409-12
[5]  
Kolbakir F(2003)Nerve monitoring changes related to iliac artery compression during anterior lumbar spine surgery Spine J 3 351-355
[6]  
Baker JK(2003)Case report: intraoperative left common iliac occlusion in a scheduled 360-degree spinal fusion Spine 28 E316-E319
[7]  
Reardon PR(1999)Acute limb ischemia Semin Vasc Surg 12 148-153
[8]  
Reardon MJ(2005)The open anterior paramedian retroperitoneal approach for spine procedures Arch Surg 140 339-343
[9]  
Heggeness MH(2001)Occlusion of left common iliac artery and consecutive thromboemboism of the left popliteal artery following anterior lumbar interbody fusion J Spinal Disord 14 365-368
[10]  
Blaisdell FW(2003)Arterial complications following anterior lumbar interbody fusion: report of eight cases Eur Spine J 12 48-54
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