Kim Dae Kyun, Kim Seok Won
Department of Neurosurgery, College of Medicine, Chosun University, Gwangju 61453, Korea.
Diagnostics (Basel). 2022 Jun 28;12(7):1568. doi: 10.3390/diagnostics12071568.
Although minimally invasive percutaneous disc nucleoplasty (PDN) has been widely used for discogenic back pain or soft-disc herniation of the lumbar spine, complications can occur. Although rare, iatrogenic vascular injuries during PDN are serious complications that can be fatal without rapid diagnosis and effective management. Here, we present the case of a 38-year-old male patient with an injury to the right fifth lumbar artery that occurred during PDN, which was successfully treated using emergent transarterial embolization. To the best of our knowledge, this is the first report of successful transarterial embolization without open hematoma evacuation for a lumbar artery injury that occurred during PDN.
尽管微创经皮椎间盘髓核成形术（PDN）已广泛用于治疗腰椎间盘源性背痛或软性椎间盘突出症，但仍可能发生并发症。虽然罕见，但PDN术中的医源性血管损伤是严重的并发症，若不迅速诊断和有效处理可能会致命。在此，我们报告一例38岁男性患者，其在PDN术中发生右侧第五腰动脉损伤，经紧急经动脉栓塞成功治疗。据我们所知，这是首例关于PDN术中发生腰动脉损伤未行开放性血肿清除而经动脉栓塞成功治疗的报道。
