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前路脊柱暴露过程中外髂静脉损伤的血管内支架置入术。

Endovascular stenting of external iliac vein injury during anterior spine exposure.

作者信息

Arun Adith S, Yue James J, Khachane Vasant B, Sumpio Bauer, Tonnessen Britt H

机构信息

Yale School of Medicine, New Haven, CT.

Connecticut Orthopaedics, Hamden, CT.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Apr 15;10(4):101506. doi: 10.1016/j.jvscit.2024.101506. eCollection 2024 Aug.

DOI:10.1016/j.jvscit.2024.101506
PMID:38812729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11133885/
Abstract

Anterior lumbar interbody fusion (ALIF) is a standard approach for the surgical management of patients with severe degenerative disease at the L4-L5 and lumbosacral (L5-S1) levels. ALIF is performed through retroperitoneal exposure but harbors a small risk of major vascular injury. In this case, we describe an emergent endovascular repair of an external iliac vein injury that occurred during ALIF with long-term follow-up. We discuss specific strategies in the decision making and technique that led to a successful outcome in this case. Endovascular stent grafting is a potential bailout option for serious iliac vein injury.

摘要

腰椎前路椎间融合术（ALIF）是治疗L4-L5和腰骶部（L5-S1）严重退行性疾病患者的标准手术方法。ALIF通过腹膜后暴露进行，但存在较大血管损伤的小风险。在本病例中，我们描述了一例在ALIF期间发生的髂外静脉损伤的紧急血管内修复，并进行了长期随访。我们讨论了在该病例中导致成功结果的决策和技术方面的具体策略。血管内支架植入术是严重髂静脉损伤的一种潜在补救选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23c/11133885/1ab62e7d1613/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23c/11133885/b97fd3672325/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23c/11133885/2d567707d04c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23c/11133885/1ab62e7d1613/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23c/11133885/b97fd3672325/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23c/11133885/2d567707d04c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23c/11133885/1ab62e7d1613/gr3.jpg

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本文引用的文献

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Antithrombotic Therapy After Venous Interventions: Expert Panel Narrative Review.静脉介入治疗后的抗血栓治疗：专家小组叙事性综述。
AJR Am J Roentgenol. 2022 Aug;219(2):175-187. doi: 10.2214/AJR.22.27413. Epub 2022 Mar 20.
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A review of the incidence, outcome, and management of venous stent migration.静脉支架迁移的发生率、结果和处理的综述。
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Novel technique of stent retrieval after migration to the right heart.移至右心后支架取出的新技术。
J Vasc Surg Cases Innov Tech. 2021 Oct 5;7(4):781-784. doi: 10.1016/j.jvscit.2021.09.008. eCollection 2021 Dec.
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Expedient Endovascular Hemorrhage Control During Anterior Lumbar Spinal Exposure Allows Procedural Completion in Rescued Patients.腰椎前路手术中快速进行血管内出血控制可使获救患者完成手术。
Ann Vasc Surg. 2022 Jan;78:377.e5-377.e10. doi: 10.1016/j.avsg.2021.05.061. Epub 2021 Aug 27.
5
Management of Vascular Complications during Anterior Lumbar Spinal Surgery Using Mini-Open Retroperitoneal Approach.采用微创经腹膜后入路治疗前路腰椎手术中的血管并发症的处理。
Ann Vasc Surg. 2021 Jul;74:475-488. doi: 10.1016/j.avsg.2021.01.077. Epub 2021 Feb 4.
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Trends in lumbar spinal fusion-a literature review.腰椎融合术的发展趋势——文献综述
J Spine Surg. 2020 Dec;6(4):752-761. doi: 10.21037/jss-20-492.
7
Technical approach, outcomes, and exposure-related complications in patients undergoing anterior lumbar interbody fusion.行前路腰椎间融合术患者的技术方法、结果和与暴露相关的并发症。
J Vasc Surg. 2021 Mar;73(3):992-998. doi: 10.1016/j.jvs.2020.06.129. Epub 2020 Jul 21.
8
Type of anti-thrombotic therapy for venous stenting in patients with non-thrombotic iliac vein lesions does not influence the development of in-stent restenosis.非血栓性髂静脉病变患者静脉支架置入术中抗血栓治疗类型并不影响支架内再狭窄的发生。
Phlebology. 2020 Dec;35(10):805-813. doi: 10.1177/0268355520941385. Epub 2020 Jul 14.
9
Primary Endovascular Repair of Ilio-Caval Injury Encountered during Anterior Exposure Spine Surgery: Evolution of the Paradigm.前路脊柱手术中髂总静脉损伤的初次血管腔内修复：治疗模式的演变
Ann Vasc Surg. 2017 Aug;43:316.e1-316.e8. doi: 10.1016/j.avsg.2017.03.192. Epub 2017 May 4.
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Variations in the iliolumbar vein during the anterior approach for spinal procedures.脊柱手术前路入路中髂腰静脉的变异。
Spine (Phila Pa 1976). 2013 Apr 15;38(8):E445-50. doi: 10.1097/BRS.0b013e31828972ac.