title: Perioperative thrombotic occlusion of left external iliac artery during anterior lumbar interbody fusion.
abstract: We report a case of thrombotic occlusion of left external iliac artery during the procedure of anterior lumbar interbody fusion. The diagnosis was confirmed by computed tomography angiography. The patient also developed severe rhabdomyolysis postoperatively. In spite of receiving emergent thromboendarterectomy, the patient expired on postoperative day 3. This report attempts to remind spinal surgeons and anesthesiologists of this rare but potentially fatal complication, and discuss the possible mechanism, management, and prevention.
authors.affiliation: Department of Anesthesiology, Taichung Veterans General Hospital, Taichung City, Taiwan.
authors.forename: Jen-Hsuan
authors.initials: JH
authors.lastname: Huang
authors.forename: Cheng-Hung
authors.initials: CH
authors.lastname: Lee
authors.forename: Tzung-Chieh
authors.initials: TC
authors.lastname: Tsai
authors.forename: Shih-Yen
authors.initials: SY
authors.lastname: Peng
mesh_terms: D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007083:Iliac Artery; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D012206:Rhabdomyolysis / Q000209:etiology; D013123:Spinal Fusion / Q000009:adverse effects*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed