Korean J Spine.
2013 Dec;10(4):264-267. 10.14245/kjs.2013.10.4.264.
Endovascular Management of Great Vessel Injury Following Lumbar Microdiscectomy
- Affiliations
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- 1Department of Neurosurgery, Konkuk University College of Medicine, Seoul, Korea. s1nsman@chol.com
- 2Department of Radiology, Konkuk University College of Medicine, Seoul, Korea.
- KMID: 1916612
- DOI: http://doi.org/10.14245/kjs.2013.10.4.264
Abstract
- Great vessel injury is a rare but well-known complication of lumbar disc surgery, which may result in acute or fatal outcomes of delayed diagnosis. Thus, early detection and proper management is vital. The authors report a case of retroperitoneal hemorrhage with arteriovenous fistula and pseudoaneurysm after lumbar microdiscectomy. The patient was successfully managed by endovascular intervention using a stent graft. Endovascular repair is a minimally invasive and efficient treatment modality with considerably low morbidity and mortality.
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