[논문]Management of Proximal Iliac Artery Injury during Lumbar Discectomy with Stent Graft

Jin, Sung-Cheol; Park, Sang-Woo; Cho, Do-Sang

doi:10.3340/jkns.2012.51.4.227

Management of Proximal Iliac Artery Injury during Lumbar Discectomy with Stent Graft 원문보기

Journal of Korean Neurosurgical Society = 대한신경외과학회지, v.51 no.4, 2012년, pp.227 - 229

Jin, Sung-Cheol (Department of Neurosurgery, College of Medicine, Inje University) , Park, Sang-Woo (Department of Radiology, College of Medicine, Konkuk University) , Cho, Do-Sang (Department of Neurosurgery, School of Medicine, Ewha Womans University)

Abstract ▼ AI-Helper

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.

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제안 방법

As the blood continued to gush out, blood pressure suddenly decreased from 110/80 mm Hg to 50/30 mm Hg. Multiple similar procedures were required to stop the leak, and the patient was consulted with general and vascular surgeons. Consultations suggested an injury to the iliac artery and hypovolemic shock.

대상 데이터

A 72-year-old female patient who had undergone lumbar discectomy at the L4-5 level one month ago, was admitted with same-level, recurrent disc herniation. The patient underwent removal of a left paracentral L4-L5 disc prolapse via microscopic posterior approach.

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원문보기 상세보기
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Management of Proximal Iliac Artery Injury during Lumbar Discectomy with Stent Graft 원문보기

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Management of Proximal Iliac Artery Injury during Lumbar Discectomy with Stent Graft 원문보기

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