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经椎间孔入路经皮内镜下腰椎间盘摘除术期间的腰动脉损伤：经导管动脉栓塞术紧急治疗成功案例

Lumbar Artery Injury during Transforaminal Percutaneous Endoscopic Lumbar Discectomy: Successful Treatment by Emergent Transcatheter Arterial Embolization.

作者信息

Wang Yongle, Ai Peng, Zhan Gonghao, Shen Bangli

机构信息

Department of Orthopaedics, Wenzhou Hospital of Traditional Chinese Medicine, Wenzhou, China.

Department of Vascular Surgery, The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.

出版信息

Ann Vasc Surg. 2018 Nov;53:267.e11-267.e14. doi: 10.1016/j.avsg.2018.05.032. Epub 2018 Aug 10.

DOI:10.1016/j.avsg.2018.05.032
PMID:30012447
Abstract

Injury to the lumbar artery during percutaneous endoscopic lumbar discectomy (PELD) is a very severe complication and only rarely reported. We present a 64-year-old patient with an injury to the right third lumbar artery during PELD which was successfully treated with intraoperative angiography and coil embolization. To our knowledge, this is the first report of the use of intraoperative angiography and coil embolization to treat a lumbar artery that had been lacerated during PELD.

摘要

经皮内窥镜下腰椎间盘切除术（PELD）期间腰动脉损伤是一种非常严重的并发症，仅有极少病例报道。我们报告一例64岁患者，在PELD期间右侧第三腰动脉损伤，通过术中血管造影和弹簧圈栓塞成功治疗。据我们所知，这是首例关于使用术中血管造影和弹簧圈栓塞治疗PELD期间腰动脉撕裂伤的报告。

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