Iliac vascular complication after spinal surgery: immediate endovascular repair following CT angiographic diagnosis.
Iliac arterial injuries are rare but important complications that can develop after spinal surgery. The presentation of these injuries is usually late, with symptoms such as leg swelling or cardiac failure. However, acute massive bleeding may be a sign of early presentation as in our patient. Herein, we present a case of life-threatening bleeding with early computed tomography angiographic diagnosis of common iliac artery pseudoaneurysm and iliac arteriovenous fistula secondary to spinal surgery which was successfully managed by endovascular stent graft treatment.
Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey. burcu_akpinar@yahoo.com
Burcu
B
Akpinar
Bora
B
Peynircioğlu
Barbaros
B
Cil
Ergun
E
Dağlioğlu
Saruhan
S
Cekirge
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging*; D000792:Angiography / Q000379:methods; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging*; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D007091:Image Processing, Computer-Assisted; D007796:Laminectomy / Q000009:adverse effects*; D008159:Lumbar Vertebrae / Q000601:surgery; D015607:Stents; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome