Endovascular stenting of external iliac vein injury during anterior spine exposure

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...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2024-08, Vol.10 (4), p.101506, Article 101506
Main Authors: Arun, Adith S., Yue, James J., Khachane, Vasant B., Sumpio, Bauer, Tonnessen, Britt H.
Format: Article
Language:English
Subjects:
Anterior spine exposure
Case report
Endovascular technique
Venous injury
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Summary: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.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2024.101506