Iatrogenic vascular injuries due to spinal surgeries: Endovascular perspective

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dc.contributor.authorGok M.
dc.contributor.authorAydin E.
dc.contributor.authorGuneyli S.
dc.contributor.authorAkay A.
dc.contributor.authorCinar C.
dc.contributor.authorOran I.
dc.date.accessioned2019-10-27T08:03:05Z
dc.date.available2019-10-27T08:03:05Z
dc.date.issued2018
dc.departmentEge Üniversitesien_US
dc.description.abstractAIM: Iatrogenic vascular injuries due to spinal surgeries are rare but serious complications. Surgical management of these injuries is challenging with high morbidity rates. In this study we aim to present the results of endovascular management of iatrogenic vascular injuries due to spinal surgeries. MATERIAL and METHODS: We retrospectively reviewed 11 patients (5 male, 6 female) who had vascular injuries due to cervical and lumbar spinal surgeries. Clinical findings were bleeding (n=5), leg edema (n=6) and right heart failure with severe dyspnea (n=1). The age range of the patients were between 42-67 (mean: 57.1). Six patients were reviewed with imaging before the procedures and the rest of the patients (n=5) were directly referred to the angiography unit for diagnosis and possible endovascular treatment. RESULTS: The types of surgeries were; cervical surgery (n=5) and lumbar disc operation (n=6). The type of vascular injuries were; vertebral artery stenosis (n=1), vertebral artery pseudoaneurysm (n=3), vertebral artery occlusion (n=1) and iliac arteriovenous fistula (n=6). The type of endovascular treatments were; parent artery occlusion (PAO) (n=2), covered stent graft implantation (n=6) and intrasaccular coil embolization of pseudoaneurysm (n=1). The remaining 2 patients were managed conservatively. No major complications or mortality occured during endovascular interventions. No bleeding or ischemia occured in the follow-up period. CONCLUSION: Iatrogenic vascular injuries due to spinal surgeries are rare but serious complications. Endovascular interventions are safe and effective in the diagnosis and treatment of such vascular injuries. © 2017, Turkish Neurosurgical Society.en_US
dc.identifier.doi10.5137/1019-5149.JTN.19286-16.2en_US
dc.identifier.endpage473en_US
dc.identifier.issn1019-5149
dc.identifier.issue3en_US
dc.identifier.pmid28191625en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage469en_US
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.19286-16.2
dc.identifier.urihttps://hdl.handle.net/11454/25298
dc.identifier.volume28en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Neurosurgical Societyen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEndovascular diagnosisen_US
dc.subjectEndovascular treatmenten_US
dc.subjectIatrogenic vascular injuryen_US
dc.subjectSpinal surgeryen_US
dc.titleIatrogenic vascular injuries due to spinal surgeries: Endovascular perspectiveen_US
dc.typeArticleen_US

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