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자료유형
학술저널
저자정보
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)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제51권 제4호
발행연도
2012.1
수록면
227 - 229 (3page)

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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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