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.
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Abad C, Martel D, Feijoo JJ, Carreira L (1993) Major vascular complications following surgery for a herniated lumbar disk. Angiologia 45(5):170–173
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
Ezra E, Richenberg JL, Smellie WAB (1996) Major vascular injury during lumbar laminectomy. J R Soc Med 89:108–109
Faraj JH, Vegesna ARR, Fares AM (2004) Major vascular injury during lumbar microdiscectomy. MEJEM 4:Case Report 1
Honemann CW, Brodner G, Van Aken H, Ruta U, Durieux ME, Mollhoff T (1998) Aortic perforation during lumbar laminectomy. Anesth Analg 86:493–495
Hui Y, Chung PC, Lau W, Ng Y, Yu C (2003) Vascular Injury During Lumbar Laminectomy. Chang Gung Med J 26:189–191
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
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
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
Sadhasivam S, Kaynar AM (2004) Iatrogenic arteriovenous fistula during lumbar microdiscectomy. Anesth Analg 99:1815–1817
Szolar DH, Preidler KW, Steiner H et al (1996) Vascular complications in lumbar disc surgery: report of four cases. Neuroradiology 38:521–525
NCEPOD (2005) An acute problem? The 2005 Report of the National Confidential Enquiry into Perioperative Deaths. NCEPOD, London
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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
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DOI: https://doi.org/10.1007/s00586-007-0470-3