title: Use of Aortic Endograft for Repair of Intraoperative Iliocaval Injury during Anterior Spine Exposure.
abstract: Vascular injury during anterior lumbar interbody fusion (ALIF) is a well-documented occurrence. Most vascular injuries continue to be managed with direct open repair. We report the outcome of a 61-year-old woman who experienced inferior vena cava and left common iliac vein injury during a difficult exposure for multilevel ALIF. The distal cava and common iliac vein were repaired with a Gore Excluder cuff and limb. The endovascular repair permitted control of the injury without more morbid maneuvers such as iliac artery transection. Thus endovascular repair of intraoperative caval injury is a valuable option in emergent situations with low morbidity and good durability.
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, University of California, Irvine, Irvine, CA.
authors.forename: Elizabeth L
authors.initials: EL
authors.lastname: Chou
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Stanford University, Stanford, CA. Electronic address: colvard@stanford.edu.
authors.forename: Benjamin D
authors.initials: BD
authors.lastname: Colvard
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Stanford University, Stanford, CA.
authors.forename: Jason T
authors.initials: JT
authors.lastname: Lee
mesh_terms: D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D011474:Prosthesis Design; D013123:Spinal Fusion / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*