View : 16 Download: 0

Management of proximal iliac artery injury during lumbar discectomy with stent graft

Title
Management of proximal iliac artery injury during lumbar discectomy with stent graft
Authors
Jin S.C.Park S.W.Cho D.S.
Ewha Authors
조도상
SCOPUS Author ID
조도상scopus
Issue Date
2012
Journal Title
Journal of Korean Neurosurgical Society
ISSN
2005-3711JCR Link
Citation
vol. 51, no. 4, pp. 227 - 229
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Iatrogenic vascular injuries during lumbar disc surgery may occur rarely but they are serious complications, which can be fatal without appropriate management. Prompt diagnosis and management of these complications are imperative to prevent a desperate outcome. A 72-year-old female with proximal left common iliac artery iatrogenic injury during lumbar discectomy was successfully treated by percutaneous deployment of a stent graft in an emergency setting. Postprocedural angiogram demonstrated complete exclusion of the iliac artery laceration. The patient became hemodynamically stable. Two weeks later she complained of vascular claudication. Follow-up angiography revealed decreased arterial flow in the opposite common iliac artery. An additional kissing stent was inserted into the right common iliac artery and the symptoms of vascular claudication disappeared. Endovascular stenting offers a safe and effective method for the treatment of an iatrogenic arterial laceration, particularly in a critical condition. But, the contralateral iliac arterial flow should be kept intact in case of proximal iliac artery injury. Otherwise, additional treatments may be needed. © 2012 The Korean Neurosurgical Society.
DOI
10.3340/jkns.2012.51.4.227
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE