Journal of Korean Neurosurgical Society

  • 제46권3호
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  • Pages.261-264
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  • 2009
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Endovascular Treatment for Common Iliac Artery Injury Complicating Lumbar Disc Surgery : Limited Usefulness of Temporary Balloon Occlusion

  • Nam, Taek-Kyun (Department of Neurosurgery, Chung-Ang University Yongsan Hospital) ;
  • Park, Seung-Won (Department of Neurosurgery, Chung-Ang University Yongsan Hospital) ;
  • Shim, Hyung-Jin (Department of Radiology, Chung-Ang University Yongsan Hospital) ;
  • Hwang, Sung-Nam (Department of Neurosurgery, Chung-Ang University Yongsan Hospital)
  • 발행 : 2009.09.28
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초록

Vascular injury during lumbar disc surgery is a rare but potentially life-threatening complication. It has been managed by open vascular surgical repair. With recent technologic advance, endovascular treatment became one of effective treatment modalities. We present a case of a 32-year-old woman who suffered with common iliac artery injury during lumbar disc surgery that was treated successfully by endovascular repair with temporary balloon occlusion and subsequent insertion of a covered stent. Temporary balloon occlusion for 1.5 hours could stop bleeding, but growing pseudoaneurysm was identified at the injury site during the following 13 days. It seems that the temporary balloon occlusion can stall bleeding from arterial injury for considerable time duration, but cannot be a single treatment modality and requires subsequent insertion of a covered stent.

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참고문헌

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피인용 문헌

  1. Symptomatic Post-Discectomy Pseudocyst after Endoscopic Lumbar Discectomy vol.49, pp.1, 2011, https://doi.org/10.3340/jkns.2011.49.1.31
  2. Intradiscal Herniation of the Common Iliac Vessels: A Case Report vol.65, pp.4, 2011, https://doi.org/10.3348/jksr.2011.65.4.411
  3. Management of Proximal Iliac Artery Injury during Lumbar Discectomy with Stent Graft vol.51, pp.4, 2009, https://doi.org/10.3340/jkns.2012.51.4.227
  4. Iliac artery perforation and treatment during lumbar disc surgery by simple balloon tamponade vol.22, pp.suppl3, 2009, https://doi.org/10.1007/s00586-012-2436-3
  5. Endovascular Management of Great Vessel Injury Following Lumbar Microdiscectomy vol.10, pp.4, 2013, https://doi.org/10.14245/kjs.2013.10.4.264
  6. A case of iliac artery injury treated by covered stent during carotid artery stenting vol.156, pp.3, 2009, https://doi.org/10.1007/s00701-013-1982-8
  7. Endovascular Therapy of Vascular Trauma-Current Options and Review of the Literature vol.53, pp.6, 2009, https://doi.org/10.1177/1538574419844073