Case Report
Year 2019,
Volume: 26 Issue: 3, 336 - 338, 01.09.2019
Abstract
Lomber disk cerrahisinde vasküler yaralanmalar çok sık
gözlenmemekle birlikte, meydana geldiklerinde hayatı tehdit eden bir komplikasyon
olabilmektedir. Major vasküler laserasyonlar aort, inferior vena cava, ana iliak arter
ve venleri içermektedir. Yapılan çalışmalarda lomber
disk seviyesi olarak en sık L4-L5 cerrahisinde vasküler yaralanmalara
rastlanmıştır. Vasküler yaralanmalar anterior ve posterior yaklaşımda
görülebilmektedir.
51 yaşında erkek hasta L3-L4 intervertabral diskinde sağ protüzyona bağlı sinir köküne bası olması ve medikal tedavi
ile rahatlamayan hasta posterior yaklaşımla lomber disk cerrahisi operasyonu sırasında abdominal aort yaralanması olan ve acil laparotomi ile transaortik olarak posterior duvardaki laserasyona direk tamir uyguladığımız vakayı sunmayı amaçladık.
Son zamanlarda endovasküler tedavi uygulamaları gelişmekte ise de hemodinamisi unstabil hastalarda açık cerrahi hastanın hayatını kurtarmaktadır.
References
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- 6. Erkut B, Unlu Y, Kaygin MA, Colak A, Erdem AF. Iatrogenic vascular injury during to lumbar disc surgery. Acta Neurochirurgica. 2007;149(5):511-515.
- 7. Szolar DH, Preidler KW, Steiner H, Riepl T, Flaschka G, Stiskal M, et al. Vascular complications in lumbar disk surgery: report of four cases. Neuroradiology 1996;38:521-525.
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- 13. Döşoğlu M, İş M, Pehlivan M, Yıldız KH. Nightmare of lumbar disc surgery: iliac artery injury. Clinical Neurology and Neurosurgery 2006; 108: 174-177.
- 14. Düz B, Kaplan M, Günay C, Üstünsöz B, Uğurel MŞ. Iliocaval Arteriovenous Fistula Following Lumbar Disc Surgery: Endovascular Treatment with a Stent-Graft. Turkish Neurosurgery 2008; 18; 245-248.
- 15. Franzini M, Altana P, AnnessiV, LodiniV. Iatrogenic vascular injuries following lumbar disc surgery. Case report and review of the literature. J Cardiovascular Surg (Torino) 1987; 28
- 16. Biasi GM. Aortocaval fistula: a challenge for endovascular management. J Endovasc Surg 1999; 6: 378
Year 2019,
Volume: 26 Issue: 3, 336 - 338, 01.09.2019
Abstract
References
- 1. Papadoulas S, Konstantinou D, Kourea HP, Kritikos N, Haftouras N, Tsolakis JA. Vascular injury complicating lumbar disc surgery. A systematic review. Eur J Vasc Endovasc Surg. 2002;24:189–95.
- 2. Liu Y. Analysis of vascular injury in lumbar spine surgery. Pak J Med Sci 2012;28(5):791-794.
- 3. Olcay A, Keskin K, Eren F. Iliac artery perforation and treatment during lumbar disc surgery by simple balloon tamponade. Eur Spine J. 2013;22(Suppl 3):S350–2.
- 4. Luan JY, Li X. A misdiagnosed iliac pseudoaneurysm complicated lumbar disc surgery performed 13 years ago. Spine (Phila Pa 1976) 2012;37:E1594–7.
- 5. Canaud L, Hireche K, Joyeux F, D’Annoville T, Berthet JP, Marty-Ane C, et al. Endovascular repair of aorto-iliac artery injuries after lumbar-spine surgery. Eur J Vasc Endovasc Surg. 2011;42(2):167-171.
- 6. Erkut B, Unlu Y, Kaygin MA, Colak A, Erdem AF. Iatrogenic vascular injury during to lumbar disc surgery. Acta Neurochirurgica. 2007;149(5):511-515.
- 7. Szolar DH, Preidler KW, Steiner H, Riepl T, Flaschka G, Stiskal M, et al. Vascular complications in lumbar disk surgery: report of four cases. Neuroradiology 1996;38:521-525.
- 8. J. Inamasu and B. H. Guiot. Vascular injury and complication in neurosurgical spine surgery. Acta Neurochir (Wien). 2006 Apr;148(4):375-87
- 9. Hong Sung Jung, Dae Jung Kim, Hyo Shin Kim, Ho Kyun Lee, Soo Jin Na Choi, and Sang Young Chung. Vascular Complications Related to Posterior Lumbar Disc Surgery.Vascular Specialist İnternational Vol. 33, No. 4, December 2017
- 10. Bolesta MJ. Vascular injury during lumbar diskectomy associated with peridiskal fibrosis: case report and literature review. J Spinal Disord 1995;8:224-227
- 11. Bingol H, Cingoz F, Yılmaz AT, Yasar M. Vascular complications related lumbar disc surgery. J Neurosurg. 2004; 100:249-53.
- 12. van Zitteren M, Fan B, Lohle PN, de Nie JC, de Waal Malefijt J, Vriens PW, et al. A shift toward endovascular repair for vascular complications in lumbar disc surgery during the last decade. Ann Vasc Surg 2013;27:810- 819.
- 13. Döşoğlu M, İş M, Pehlivan M, Yıldız KH. Nightmare of lumbar disc surgery: iliac artery injury. Clinical Neurology and Neurosurgery 2006; 108: 174-177.
- 14. Düz B, Kaplan M, Günay C, Üstünsöz B, Uğurel MŞ. Iliocaval Arteriovenous Fistula Following Lumbar Disc Surgery: Endovascular Treatment with a Stent-Graft. Turkish Neurosurgery 2008; 18; 245-248.
- 15. Franzini M, Altana P, AnnessiV, LodiniV. Iatrogenic vascular injuries following lumbar disc surgery. Case report and review of the literature. J Cardiovascular Surg (Torino) 1987; 28
- 16. Biasi GM. Aortocaval fistula: a challenge for endovascular management. J Endovasc Surg 1999; 6: 378
There are 16 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Olgu Sunumları |
| Authors | |
| Publication Date | September 1, 2019 |
| Submission Date | July 12, 2018 |
| Acceptance Date | August 27, 2018 |
| Published in Issue | Year 2019 Volume: 26 Issue: 3 |
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/Medical Journal of Süleyman Demirel University is licensed under Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International.