Abstract
The purpose of this study was to demonstrate the use of endovascular stenting to repair an iliac artery injury following lumbar discectomy, thus obviating the need for major surgery. A 57-year-old woman developed a distended abdomen and signs of hypovolemic shock immediately following discectomy at the L4-L5 level. Ultrasound showed a large amount of abdominal fluid. Angiography revealed a laceration of the right iliac artery bifurcation with extravasation of contrast material. After occlusion of the internal iliac artery with fibered coils to prevent retrograde flow to the iliac bifurcation, a self-expanding covered stent was inserted to seal the iliac laceration. The leakage of blood stopped immediately. The clinical condition of the patient gradually improved and she was discharged home 5 weeks later. Sealing of arterial laceration as a complication of lumbar disc surgery with a covered stent is a simple and effective alternative to major pelvic surgery.
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Bierdrager, E., van Rooij, W.J. & Sluzewski, M. Emergency stenting to control massive bleeding of injured iliac artery following lumbar disk surgery. Neuroradiology 46, 404–406 (2004). https://doi.org/10.1007/s00234-004-1198-y
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DOI: https://doi.org/10.1007/s00234-004-1198-y