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腰椎间盘显微切除术后大血管损伤的血管内治疗

Endovascular management of great vessel injury following lumbar microdiscectomy.

作者信息

Park Hee-Kwon, Choe Woo Jin, Koh Young-Cho, Park Sang Woo

机构信息

Department of Neurosurgery, Konkuk University College of Medicine, Seoul, Korea.

Department of Radiology, Konkuk University College of Medicine, Seoul, Korea.

出版信息

Korean J Spine. 2013 Dec;10(4):264-7. doi: 10.14245/kjs.2013.10.4.264. Epub 2013 Dec 31.

DOI:10.14245/kjs.2013.10.4.264
PMID:24891863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4040641/
Abstract

Great vessel injury is a rare but well-known complication of lumbar disc surgery, which may result in acute or fatal outcomes of delayed diagnosis. Thus, early detection and proper management is vital. The authors report a case of retroperitoneal hemorrhage with arteriovenous fistula and pseudoaneurysm after lumbar microdiscectomy. The patient was successfully managed by endovascular intervention using a stent graft. Endovascular repair is a minimally invasive and efficient treatment modality with considerably low morbidity and mortality.

摘要

大血管损伤是腰椎间盘手术中一种罕见但广为人知的并发症，可能导致延迟诊断的急性或致命后果。因此，早期发现和妥善处理至关重要。作者报告了一例腰椎显微椎间盘切除术后发生腹膜后出血并伴有动静脉瘘和假性动脉瘤的病例。该患者通过使用覆膜支架进行血管内介入治疗获得成功。血管内修复是一种微创且有效的治疗方式，发病率和死亡率相当低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd8/4040641/dd8c79a7637d/kjs-10-264-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd8/4040641/c2d8cd904ab8/kjs-10-264-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd8/4040641/1501e4758431/kjs-10-264-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd8/4040641/7ade60e68d66/kjs-10-264-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd8/4040641/9b414a58ee13/kjs-10-264-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd8/4040641/dd8c79a7637d/kjs-10-264-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd8/4040641/c2d8cd904ab8/kjs-10-264-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd8/4040641/1501e4758431/kjs-10-264-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd8/4040641/7ade60e68d66/kjs-10-264-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd8/4040641/9b414a58ee13/kjs-10-264-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd8/4040641/dd8c79a7637d/kjs-10-264-g005.jpg

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2
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J Korean Neurosurg Soc. 2012 Apr;51(4):227-9. doi: 10.3340/jkns.2012.51.4.227. Epub 2012 Apr 30.
3
Endovascular treatment for common iliac artery injury complicating lumbar disc surgery : limited usefulness of temporary balloon occlusion.
经椎间孔腰椎椎间融合术中的主动脉损伤
Korean J Spine. 2017 Sep;14(3):118-120. doi: 10.14245/kjs.2017.14.3.118. Epub 2017 Sep 30.
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