PDF(Pubmed)
Abstract：
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.
摘要：
腰椎前路椎间融合术（ALIF）是L4-L5和腰骶骨（L5-S1）严重退行性疾病患者手术治疗的标准方法。ALIF通过腹膜后暴露进行，但具有较小的主要血管损伤风险。在这种情况下,我们描述了ALIF长期随访期间发生的髂外静脉损伤的紧急血管内修复术.我们讨论了在这种情况下导致成功结果的决策和技术的具体策略。血管内支架移植是严重髂静脉损伤的潜在救助选择。
