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Successful endovascular management of an acute iliac venous injury during lumbar discectomy and anterior spinal fusion  Joseph R. Schneider, MD, PhD,

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Presentation on theme: "Successful endovascular management of an acute iliac venous injury during lumbar discectomy and anterior spinal fusion  Joseph R. Schneider, MD, PhD,"— Presentation transcript:

1 Successful endovascular management of an acute iliac venous injury during lumbar discectomy and anterior spinal fusion  Joseph R. Schneider, MD, PhD, Marc J. Alonzo, MD, David Hahn, MD  Journal of Vascular Surgery  Volume 44, Issue 6, Pages (December 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Iliocaval venogram (simultaneous injections via bilateral femoral venous sheaths) demonstrates a large laceration (arrow) of the left common iliac to inferior vena caval junction. The radiopaque indicators on the gauze sponges used to pack the wound to control bleeding may be identified just below and to the right (patient’s left) of the arrow. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Bilateral iliac venous kissing stent grafts have been placed from the common iliac veins extending into the inferior vena cava, successfully excluding the injury. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Computed tomographic scan on the 13th postoperative day reveals the stent grafts in place (arrow) adjacent to the spinal fusion hardware (posteromedial to the stent grafts). Timing was not optimized for venous phase examination, but review of all images, including sagittal and coronal reconstructions, made it clear that both common iliac veins and the inferior vena cava remained patent. There was no evidence on this scan of any associated arterial injury. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

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