Emergent Transcatheter Arterial Embolization via a Transpopliteal Approach for Internal Iliac Artery Injury during Lumbar Disk Surgery in the Prone Position.
iatrogenic vascular injury
lumbar disk surgery
prone position
Journal
Annals of vascular diseases
ISSN: 1881-641X
Titre abrégé: Ann Vasc Dis
Pays: Japan
ID NLM: 101471467
Informations de publication
Date de publication:
25 Dec 2020
25 Dec 2020
Historique:
entrez:
4
1
2021
pubmed:
5
1
2021
medline:
5
1
2021
Statut:
ppublish
Résumé
This report describes a successful case of transcatheter arterial embolization for a critical vascular injury during lumbar disk surgery that resulted in a large retroperitoneal hematoma in a 72-year-old woman. A 4-Fr long sheath was inserted via the right popliteal artery in the prone position. Pelvic angiography revealed a pseudoaneurysm in the right internal iliac artery, which was managed with coil embolization. The patient underwent laparotomy because of abdominal compartment syndrome and was discharged in good condition after rehabilitation. The transpopliteal endovascular approach in the prone position may thus provide the best chance to treat this rare but critical condition.
Identifiants
pubmed: 33391567
doi: 10.3400/avd.cr.20-00074
pmc: PMC7758584
doi:
Types de publication
Journal Article
Langues
eng
Pagination
441-443Informations de copyright
© 2020 The Editorial Committee of Annals of Vascular Diseases.
Déclaration de conflit d'intérêts
Disclosure StatementHiroshi Nishimaki serves as a consultant to Dantex Corporation. The other authors have no conflicts of interest to declare.
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