J Korean Neurosurg Soc.  2009 Sep;46(3):261-264. 10.3340/jkns.2009.46.3.261.

Endovascular Treatment for Common Iliac Artery Injury Complicating Lumbar Disc Surgery : Limited Usefulness of Temporary Balloon Occlusion

• Nam TK
• Park SW
• Shim HJ
• Hwang SN

• KMID: 2138417
• DOI: http://doi.org/10.3340/jkns.2009.46.3.261

Abstract

Vascular injury during lumbar disc surgery is a rare but potentially life-threatening complication. It has been managed by open vascular surgical repair. With recent technologic advance, endovascular treatment became one of effective treatment modalities. We present a case of a 32-year-old woman who suffered with common iliac artery injury during lumbar disc surgery that was treated successfully by endovascular repair with temporary balloon occlusion and subsequent insertion of a covered stent. Temporary balloon occlusion for 1.5 hours could stop bleeding, but growing pseudoaneurysm was identified at the injury site during the following 13 days. It seems that the temporary balloon occlusion can stall bleeding from arterial injury for considerable time duration, but cannot be a single treatment modality and requires subsequent insertion of a covered stent.

Keyword

Endovascular repair; Covered stent; Balloon occlusion; Lumbar disc surgery; Common iliac artery; Pseudoaneurysm

MeSH Terms

Adult
Aneurysm, False
Balloon Occlusion
Female
Hemorrhage
Humans
Iliac Artery
Stents
Vascular System Injuries