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
  • 1Department of Neurosurgery, Konkuk University College of Medicine, Seoul, Korea. s1nsman@chol.com
  • 2Department of Radiology, Konkuk University College of Medicine, Seoul, Korea.

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.

Keyword

Lumbar disc surgery; Vascular injury

MeSH Terms

Aneurysm, False
Arteriovenous Fistula
Blood Vessel Prosthesis
Delayed Diagnosis
Fatal Outcome
Hemorrhage
Humans
Mortality
Vascular System Injuries
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