Abstract：
An 80-year-old man was admitted with an L5 compression fracture, L4/5 spondylolisthesis, and L5 radiculopathy and underwent a TLIF procedure. Refractory hypotension occurred, though it indicated a possible great vessel injury with vasopressor and fluid infusion. Emergent intraoperative angiography was performed, which showed extravasation at the right common iliac artery. Resuscitative endovascular balloon occlusion of the aorta followed by right common iliac artery stenting was successfully performed to arrest the bleeding. The iatrogenic right common iliac artery laceration was complicated with abdomen compartment syndrome and acute kidney injury. The patient received supportive care, including continuous venovenous hemofiltration (CVVH) for a week, after which the patient\'s condition improved. The patient did not have any residual complications at the one-month follow-up. Great vessel injury during the TLIF procedure is rare but fatal. Refractory hypotension is indicative of a great vessel injury. Endovascular intervention is a fast and promising method to diagnose and treat arterial injury.
摘要：
一名80岁的男子因L5压缩性骨折入院,L4/5脊椎前移,和L5神经根病，并接受了TLIF程序。发生顽固性低血压,尽管它表明血管加压药和输液可能会造成大血管损伤。术中紧急行血管造影,显示右髂总动脉外渗.成功进行了主动脉的复苏性血管内球囊闭塞，然后进行了右髂总动脉支架置入术，以阻止出血。医源性右髂总动脉裂伤合并腹腔室综合征及急性肾损伤。病人接受了支持性治疗,包括连续静脉血液滤过（CVVH）一周，之后病人的病情好转了。在一个月的随访中，患者没有任何残留并发症。在TLIF手术期间的大血管损伤是罕见的但致命的。顽固性低血压指示大血管损伤。血管内介入是诊断和治疗动脉损伤的一种快速且有前途的方法。
