Vascular Injury Complicating Lumbar Disc Surgery. A Systematic Review

Papadoulas, Spyros; Konstantinou, Dimitrios; Kourea, Helen; Kritikos, Nikolaos; Haftouras, N.; Tsolakis, John

doi:10.1053/ejvs.2002.1682

Cited by 240 publications

(233 citation statements)

References 51 publications

(91 reference statements)

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“…Papadoulas et al reported on vascular injury complicating lumbar disc surgery. 4 Arteriovenous fistula was diagnosed more than 1 month after surgery in 66 patients, most of whom clinically presented with congestive heart failure. The mortality rate in their report was 5%.…”

Section: Discussionmentioning

confidence: 99%

Large spinal intraosseous arteriovenous fistula: case report

Imajo¹,

Kanchiku²,

Yoshida³

et al. 2015

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Here the authors report the case of a fresh vertebral body fracture with a large spinal intraosseous arteriovenous fistula (AVF). A 74-year-old woman started to experience low-back pain following a rear-end car collision. Plain radiography showed diffuse idiopathic skeletal hyperostosis (DISH). Sagittal CT sections revealed a transverse fracture of the L-4 vertebral body with a bone defect. Sagittal fat-suppressed T2-weighted MRI revealed a flow void in the fractured vertebra. Spinal angiography revealed an intraosseous AVF with a feeder from the right L-4 segmental artery. A fresh fracture of the L-4 vertebral body with a spinal intraosseous AVF was diagnosed. Observation of a flow void in the vertebral body on fat-suppressed T2-weighted MRI was important for the diagnosis of the spinal intraosseous AVF. Because conservative treatment was ineffective, surgery was undertaken. The day before surgery, embolization through the right L-4 segmental artery was performed using 2 coils to achieve AVF closure. Posterolateral fusion with instrumentation at the T12–S2 vertebral levels was performed without L-4 vertebroplasty. The spinal intraosseous AVF had disappeared after 4 months. At 24 months after surgery, the bone defect was completely replaced by bone and the patient experienced no limitations in daily activities. Given their experience with the present case, the authors believe that performing vertebroplasty or anterior reconstruction may not be necessary in treating spinal intraosseous AVF.

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Section: Discussionmentioning

confidence: 99%

Large spinal intraosseous arteriovenous fistula: case report

Imajo¹,

Kanchiku²,

Yoshida³

et al. 2015

SPI

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“…The incidence of serious vascular injuries, such as arteriovenous fistulas, lacerations and pseudoaneurysms during disc surgery is 1-5 per 10,000 [1]. Arterial lacerations usually present immediately, and represent 30 % of vascular injuries [3].…”

Section: Discussionmentioning

confidence: 99%

“…The reported prevalence is 1-5 per 10,000 cases, but the actual prevalence may be higher since some of the complications are not realized until later [1]. Commonly seen complications are pseudoaneurysms and arteriovenous fistulas.…”

Section: Introductionmentioning

confidence: 99%

Iliac artery perforation and treatment during lumbar disc surgery by simple balloon tamponade

2012

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Introduction Although vascular injury during lumbar disc surgery is quite rare, it may be life threatening if not recognized and treated immediately. CaseWe report the case of a woman who had a left common iliac artery laceration during spinal surgery and was treated by endovascular therapy. In the past, open surgery was the only way to repair a vascular injury, but thanks to the advance of new endovascular techniques and devices, endovascular therapy has become a strong alternative. Conclusion This case differs from those published in the literature as we used a single balloon inflation and subtotal occlusion without the need for a covered stent.

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“…The incidence of serious vascular injuries, such as arteriovenous fistulas, lacerations and pseudoaneurysms, during disc surgery is 1-5 per 10,000 [9]. Arteriovenous fistulas are the commonest complication, occurring in 67% of such cases and usually presenting 1 month after surgery.…”

Section: Discussionmentioning

confidence: 99%

Endovascular repair of iliac artery injury complicating lumbar disc surgery

et al. 2007

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Vascular injury as a complication of disc surgery was first reported in 1945 by Linton and White. It is a rare but potentially fatal complication. The high mortality rate (40-100%) is attributed to a combination of rapid blood loss and the failure to recognise the cause of the deteriorating patient. Early diagnosis and treatment is essential. Treatment has traditionally been by open vascular surgical repair, however with modern imaging and endovascular techniques, minimally invasive treatment should be considered first line in patients who are stable. We present the case of a 51-year-old woman who sustained common iliac artery injury during lumbar spinal surgery that was treated successfully using a covered stent.

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Vascular Injury Complicating Lumbar Disc Surgery. A Systematic Review

Cited by 240 publications

References 51 publications

Large spinal intraosseous arteriovenous fistula: case report

Large spinal intraosseous arteriovenous fistula: case report

Iliac artery perforation and treatment during lumbar disc surgery by simple balloon tamponade

Endovascular repair of iliac artery injury complicating lumbar disc surgery

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