Ces radiol. 2019, 73(1):24-29 | DOI: 10.55095/CesRadiol2019/005

Endovascular repair of intra-abdominal vascular injury due to spinal disc surgeryCase report

Jan Terč¹, Filip Cihlář¹, Petr Vachata², Jan Svoboda¹, Ivan Humhej², Vojtěch Smolka¹, Jozef Jakabčin³

¹ Radiologická klinika Fakulty zdravotnických studií UJEP a Krajské zdravotní a.s. - Masarykova nemocnice v Ústí nad Labem, o.z.

² Neurochirurgická klinika Fakulty zdravotnických studií UJEP a Krajské zdravotní a.s. - Masarykova nemocnice v Ústí nad Labem, o.z.

³ Kardiologická klinika Fakulty zdravotnických studií UJEP a Krajské zdravotní a.s. - Masarykova nemocnice v Ústí nad Labem, o.z.

An iatrogenic injury of the major abdominal blood vessels is a rare yet feared complication of intervertebral disc surgery. Presence of bleeding during the surgery is a reason for targeted examination with imaging methods, even if the patient is asymptomatic after surgery. If arteriovenous fistula is present, the patient can later develop heart failure due to fistula progression. Between years 2012-2019, three patients were endovascularly treated in our department. All three were hemodynamically stable. An endovascular procedure with implantation of stentgrafts, and in one case with addition of coils, was technically and clinically successful, with no complications postoperatively. Our experiences with endovascular treatment of such injuries confirm, that it is an appropriate method of treatment in hemodynamically stable patients.

Keywords: lumbal disk surgery, iatrogenic injury, iliac artery, arterio-venous fistula, endovascular treatment

Accepted: March 24, 2019; Published: March 1, 2019  Show citation