Iliac vascular complication after spinal surgery: immediate endovascular repair following CT angiographic diagnosis.

Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey.
Diagnostic and interventional radiology (Ankara, Turkey) (Impact Factor: 1.03). 10/2009; 15(4):303-5. DOI: 10.4261/1305-3825.DIR.1018-07.4
Source: PubMed

ABSTRACT Iliac arterial injuries are rare but important complications that can develop after spinal surgery. The presentation of these injuries is usually late, with symptoms such as leg swelling or cardiac failure. However, acute massive bleeding may be a sign of early presentation as in our patient. Herein, we present a case of life-threatening bleeding with early computed tomography angiographic diagnosis of common iliac artery pseudoaneurysm and iliac arteriovenous fistula secondary to spinal surgery which was successfully managed by endovascular stent graft treatment.

  • [Show abstract] [Hide abstract]
    ABSTRACT: This study aims to describe the endovascular management of abdominal-aortic- or common-iliac-artery injuries after lumbar-spine surgery. Patients treated for abdominal-aortic- or common-iliac-artery injuries after lumbar-spine surgery during a 13-year period were identified from an endovascular database, providing prospective information on techniques and outcome. The corresponding patient records and radiographic reports were analysed retrospectively. Seven patients were treated with acute (n = 3) or subacute (n = 4) injuries of the common iliac artery (n = 6) or abdominal aorta (n = 1) after lumbar-spine surgery. Vascular injuries included arterial lacerations (n = 3), arteriovenous fistulas (n = 2) and pseudo-aneurysms (n = 2). The mean age of the patients was 51.7 years (30-60 years), 71.4% were women. These lesions were repaired by transluminal placement of stent grafts: Passager (n = 3), Viabahn (n = 1), Wallgraft (n = 1), Zénith (n = 1) and Advanta V12 (n = 1). Exclusion of the injury was achieved in all cases. Mortality was nil. There were no procedure-related complications. During a median follow-up of 8.7 years (range 0.3-13 years), all stent grafts remained patent. Sealing of common iliac artery or abdominal aortic lesions as a complication of lumbar-disc surgery with a stent graft is effective and is suggested as an excellent alternative to open surgery for iatrogenic great-vessel injuries, particularly in critical conditions.
    European journal of vascular and endovascular surgery: the official journal of the European Society for Vascular Surgery 05/2011; 42(2):167-71. · 2.92 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: This paper derives an optimal multiple model (MM) tracking filter using classical optimization theory. Two models are used: a constant velocity (CV) model with low state process noise, and a CV model but with large state process noise. One novel feature of this filter is that it does not require the a priori knowledge of the target transition probability matrix. Simulations are performed to show the online switching capability of the new filter as well as its performance
    Decision and Control, 1997., Proceedings of the 36th IEEE Conference on; 01/1998
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To assess the therapeutic outcome after endovascular repair of iliac arterial lesions (IALs) using a self-expandable Nitinol stent graft system.
    PLoS ONE 01/2014; 9(8):e103980. · 3.53 Impact Factor

Full-text (2 Sources)

Available from
Jun 4, 2014