Intraspinal Iliac Venous Stent Migration with Lumbar Nerve Root Compression.
Device Removal
Endovascular Procedures
/ adverse effects
Female
Humans
Iliac Vein
/ surgery
Lumbar Vertebrae
May-Thurner Syndrome
/ complications
Postoperative Complications
/ diagnostic imaging
Pulmonary Embolism
/ etiology
Radiculopathy
/ diagnostic imaging
Spinal Canal
Stents
/ adverse effects
Tomography, X-Ray Computed
Venous Thrombosis
/ complications
Young Adult
Ectopic intra-spinal stent
Endovascular stent
Stent migration
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
10
11
2019
revised:
03
02
2020
accepted:
04
02
2020
pubmed:
15
2
2020
medline:
29
7
2020
entrez:
15
2
2020
Statut:
ppublish
Résumé
Venous stenting is a common treatment for chronic peripheral venous disease. The most frequent complications caused by this technique are stent misplacement and intracardiac or intravascular stent migration. In this publication, we will describe the first case of an intraspinal stent misplacement leading to lumbar nerve root compression. Our patient was a 20-year-old woman with a bilateral pulmonary embolism caused by a right common iliac vein thrombosis and a severe compression of the left common iliac vein by the right common iliac artery (May-Thurner or Cockett syndrome). She underwent an endovascular stenting of the left iliac vein. A few days later, she reported some pain in the right L5 radicular and showed signs of hypoesthesia of the left leg and of paresis of the left extensor hallucis longus muscle. A lumbar computed tomography scan showed a stent misplacement into the spinal canal through the left L5 foramen with nerve root compression. She underwent a surgical removal of the stent through a unilateral L5-S1 laminarthrectomy. The postoperative follow-up showed a complete clinical recovery and a control lumbar computed tomography scan confirmed the L5 nerve root decompression. The intraspinal misplacement of a venous stent is a rare complication that may cause nerve root injury. It requires a prompt treatment. Surgically removing the stent by a posterior approach seems to be a simple and safe therapeutic option.
Sections du résumé
BACKGROUND
Venous stenting is a common treatment for chronic peripheral venous disease. The most frequent complications caused by this technique are stent misplacement and intracardiac or intravascular stent migration. In this publication, we will describe the first case of an intraspinal stent misplacement leading to lumbar nerve root compression.
CASE DESCRIPTION
Our patient was a 20-year-old woman with a bilateral pulmonary embolism caused by a right common iliac vein thrombosis and a severe compression of the left common iliac vein by the right common iliac artery (May-Thurner or Cockett syndrome). She underwent an endovascular stenting of the left iliac vein. A few days later, she reported some pain in the right L5 radicular and showed signs of hypoesthesia of the left leg and of paresis of the left extensor hallucis longus muscle. A lumbar computed tomography scan showed a stent misplacement into the spinal canal through the left L5 foramen with nerve root compression. She underwent a surgical removal of the stent through a unilateral L5-S1 laminarthrectomy. The postoperative follow-up showed a complete clinical recovery and a control lumbar computed tomography scan confirmed the L5 nerve root decompression.
CONCLUSIONS
The intraspinal misplacement of a venous stent is a rare complication that may cause nerve root injury. It requires a prompt treatment. Surgically removing the stent by a posterior approach seems to be a simple and safe therapeutic option.
Identifiants
pubmed: 32058121
pii: S1878-8750(20)30293-X
doi: 10.1016/j.wneu.2020.02.028
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
372-375Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.