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Management of Proximal Iliac Artery Injury during Lumbar Discectomy with Stent Graft
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  • Management of Proximal Iliac Artery Injury during Lumbar Discectomy with Stent Graft
  • Management of Proximal Iliac Artery Injury during Lumbar Discectomy with Stent Graft
저자명
Jin. Sung-Cheol,Park. Sang-Woo,Cho. Do-Sang
간행물명
Journal of Korean neurosurgical society
권/호정보
2012년|51권 4호|pp.227-229 (3 pages)
발행정보
대한신경외과학회
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정기간행물|ENG|
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기타
이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

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.