Skip to main content

Advertisement

Log in

Endovascular repair of iliac artery injury complicating lumbar disc surgery

  • Case Report
  • Published:
European Spine Journal Aims and scope Submit manuscript

Abstract

Vascular injury as a complication of disc surgery was first reported in 1945 by Linton and White. It is a rare but potentially fatal complication. The high mortality rate (40–100%) is attributed to a combination of rapid blood loss and the failure to recognise the cause of the deteriorating patient. Early diagnosis and treatment is essential. Treatment has traditionally been by open vascular surgical repair, however with modern imaging and endovascular techniques, minimally invasive treatment should be considered first line in patients who are stable. We present the case of a 51-year-old woman who sustained common iliac artery injury during lumbar spinal surgery that was treated successfully using a covered stent.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Abad C, Martel D, Feijoo JJ, Carreira L (1993) Major vascular complications following surgery for a herniated lumbar disk. Angiologia 45(5):170–173

    PubMed  CAS  Google Scholar 

  2. Bierdrage E, Jan van Rooij, Sluzewski M (2004) Emergency stenting to control massive bleeding of injured iliac artery following lumbar disk surgery. Neuroradiology 46:404–406

    Article  Google Scholar 

  3. Ezra E, Richenberg JL, Smellie WAB (1996) Major vascular injury during lumbar laminectomy. J R Soc Med 89:108–109

    Google Scholar 

  4. Faraj JH, Vegesna ARR, Fares AM (2004) Major vascular injury during lumbar microdiscectomy. MEJEM 4:Case Report 1

  5. Honemann CW, Brodner G, Van Aken H, Ruta U, Durieux ME, Mollhoff T (1998) Aortic perforation during lumbar laminectomy. Anesth Analg 86:493–495

    Article  PubMed  CAS  Google Scholar 

  6. Hui Y, Chung PC, Lau W, Ng Y, Yu C (2003) Vascular Injury During Lumbar Laminectomy. Chang Gung Med J 26:189–191

    PubMed  Google Scholar 

  7. Linton RR, White PD (1945) Arteriovenous fistula between the right common iliac artery and the inferior vena cava: report of a case of its occurrence following an operation for a ruptured intervertebral disc with cure by operation. Arch Surg 50:6–13

    Google Scholar 

  8. McCarter DHA, Johnstone RD, McInnes GC, Reid DB, Pollock JG, Reid AW (1996) Case report: Iliac arteriovenous fistula following lumbar disc surgery treated by percutaneous endoluminal stent grafting. Br J Surg 83(6):796–797

    Article  PubMed  CAS  Google Scholar 

  9. Papadoulas S, Konstantinou D, Kourea HP et al (2002) Vascular injury complicating lumbar disc surgery: a systematic review. Eur J Vasc Endovasc Surg 24:189–195

    Article  PubMed  CAS  Google Scholar 

  10. Sadhasivam S, Kaynar AM (2004) Iatrogenic arteriovenous fistula during lumbar microdiscectomy. Anesth Analg 99:1815–1817

    Article  PubMed  Google Scholar 

  11. Szolar DH, Preidler KW, Steiner H et al (1996) Vascular complications in lumbar disc surgery: report of four cases. Neuroradiology 38:521–525

    Article  PubMed  CAS  Google Scholar 

  12. NCEPOD (2005) An acute problem? The 2005 Report of the National Confidential Enquiry into Perioperative Deaths. NCEPOD, London

Download references

Conflict of interest statement

None of the authors has any potential conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to P. Skippage.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Skippage, P., Raja, J., McFarland, R. et al. Endovascular repair of iliac artery injury complicating lumbar disc surgery. Eur Spine J 17 (Suppl 2), 228–231 (2008). https://doi.org/10.1007/s00586-007-0470-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00586-007-0470-3

Keywords

Navigation