Arteriovenous fistula of the superior gluteal artery as a complication of posterior iliac crest bone graft harvesting: 3D-CT angiography and arterial embolization

Kong, Chae-Gwan; Park, Jong-Beom; Won, Yong Sung; Riew, K. Daniel

doi:10.1007/s00586-009-0937-5

Cited by 7 publications

(4 citation statements)

References 15 publications

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“…If the operation is misoperation, it will cause pain, nerve injury, paresthesia, hip hematoma, infection, wound dehiscence, scar iliac fracture and other complications, which will cause pain to the patient. [4][5][6] Current literature reported that it have achieved better results by improving method of iliac cut and the iliac bone defect prevention after the second phase of reconstruction, avoiding complications. 7,8 In this paper, we discuss the surgery called "the "open windowed" iliac crest bone graft" retains the iliac crest bone, reduces the incidence of donor site complications, and achieved a good clinical curative effect.…”

Section: Introductionmentioning

confidence: 99%

"Open window" of the ilium iliac fossa took bone in the application of autologous bone graft

Gao

Dai

2015

Int Surg J

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Background: Objective: To explore practical, simple, and less complications method of iliac cut. Methods: A retrospective analysis of 23 patients with iliac bone taken between the June 2011-June 2013. Using "windowed iliac fossa" to cut single or double cortex ilium, then count donor site complications and related factors. Results: There is no abnormal appearance at the taken sit of the iliac, also there is no local pain or tenderness touch. The skin feeling of hip and thigh are normal, the VAS is 7-9, the department of belt are also unaffected. Conclusions: As an improved method of bone taken in the autogenous bone graft, the complications of "windowed iliac fossa" decreased significantly than the traditional method, as a new methods of iliac cut, which is worth popularizing in clinical practice.

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Section: Introductionmentioning

confidence: 99%

"Open window" of the ilium iliac fossa took bone in the application of autologous bone graft

Gao

Dai

2015

Int Surg J

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“…In 2009, Kong et al 2 reported an iatrogenic arteriovenous fistula of the superior gluteal artery occurring after posterior iliac crest bone graft harvesting for use in a total laminectomy and posterolateral spinal fusion. After 6 weeks, their patient returned with a fist‐sized painful swelling at the bone graft harvest site.…”

mentioning

confidence: 99%

“…Computed tomographic angiography and angiography under fluoroscopic guidance are the most common modalities used to diagnose arteriovenous fistulas and pseudoaneurysms. [1][2][3][4][5] In particular, for arteriovenous fistulas and pseudoaneurysms of the superior gluteal artery after bone marrow biopsy, the most frequently used treatment is selective coil embolization or thrombin occlusion under fluoroscopic guidance.…”

mentioning

confidence: 99%

Sonographic Diagnosis of a Superior Gluteal Artery Arteriovenous Fistula and Pseudoaneurysm After Bone Marrow Biopsy

Yap

Jeffrey

2016

J of Ultrasound Medicine

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“…2 Other reported complications from posterior iliac crest graft harvest include fracture, vascular injuries, and unsatisfactory cosmesis. [3][4][5] In an attempt to reduce the comorbidities associated with autologous graft harvest, various bone graft substitutes have been developed. The most effective of these is generally believed to be recombinant human bone morphogenic protein (rhBMP).…”

mentioning

confidence: 99%

Retrospective Study of Posterior Cervical Fusions With rhBMP-2

Hodges¹,

Eck²,

Newton³

2012

Orthopedics

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Posterior cervical decompression and fusion can be performed for various spinal conditions. Previous rates of pseudoarthrosis have been reported in up to 38% of patients. The use of bone morphogenic protein (BMP) has been approved for use in certain anterior lumbar interbody fusion techniques to decrease the incidence of pseudoarthrosis. Bone morphogenic protein in the anterior cervical spine carries a potential increased risk of airway complications; however, few data exist on the safety and efficacy of BMP in the posterior cervical spine. The purpose of this study was to evaluate fusion success, safety, and heterotopic bone formation using BMP in posterior cervical fusion.Twenty-nine patients who received posterior cervical fusion with BMP were followed for a minimum of 12 months. Computed tomography scans were obtained at a minimum of 12 months postoperatively to evaluate for solid arthrodesis and the presence of heterotopic bone formation. Patients' demographic data and adverse events were evaluated. All patients underwent posterior cervical decompression and instrumented fusion of at least 1 level between 2006 and 2008. Of 37 patients eligible for the study, 29 agreed to participate. Three (10.3%) of 29 patients developed pseudoarthrosis, as found on computed tomography scan. None of these went on to further surgery. No evidence existed of heterotopic bone formation outside of the lateral masses or bone growth over the spinal canal or neuroforamen. No adverse events were related to the use of BMP in this series of posterior cervical fusions. Bone morphogenic protein can be used safely in posterior cervical spine fusion, but additional larger studies are recommended. Even with the use of bone morphogenic protein, the possibility of pseudoarthrosis exists.

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Arteriovenous fistula of the superior gluteal artery as a complication of posterior iliac crest bone graft harvesting: 3D-CT angiography and arterial embolization

Cited by 7 publications

References 15 publications

"Open window" of the ilium iliac fossa took bone in the application of autologous bone graft

"Open window" of the ilium iliac fossa took bone in the application of autologous bone graft

Sonographic Diagnosis of a Superior Gluteal Artery Arteriovenous Fistula and Pseudoaneurysm After Bone Marrow Biopsy

Retrospective Study of Posterior Cervical Fusions With rhBMP-2

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