Successful Treatment of Internal Iliac Vein Rupture During Revisional Anterior Lumbar Spinal Surgery Using a Tack - Case Report - (요추 전방 재수술 도중 발생한 내 장골 정맥 파열의 “압정”을 이용한 치료 - 증례 보고 -)

Sangbong Ko (고상봉); Tae Bum Oh (오태범); Ki Hyuk Park (박기혁)

Successful Treatment of Internal Iliac Vein Rupture During Revisional Anterior Lumbar Spinal Surgery Using a Tack - Case Report -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2017, 24(2), pp.115-120
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Sangbong Ko ¹, Tae Bum Oh ¹, Ki Hyuk Park ²

¹대구가톨릭대학교 정형외과학교실
²대구가톨릭대학교 일반외과학교실

Accredited

ABSTRACT

Study Design: Case report. Objectives: To report a rare case in which a tack was used to control bleeding due to a torn iliac vein during revisional anterior spine surgery. Summary of Literature Review: During anterior lumbar surgery, bleeding following a vascular injury is possible to control and reparable in most cases. During revisional anterior lumbar surgery, however, there are irreparable cases of bleeding as well. In some cases, it can threaten the patient’s life. Material and Methods: A 56-year-old man suffered from potentially fatal bleeding following iliac vein rupture during revisional anterior lumbar surgery. Primary vascular closure was impossible due to severe adhesion. We attempted to stop the venous bleeding with a tack, as an alternative treatment. The potentially fatal bleeding was controlled and the patient’s vital signs stabilized after hemostasis by the tack. Results: Hemostasis using the tack saved the patient’s life without any rebleeding. Conclusions: During revisional anterior lumbar surgery, bleeding following an iliac vein rupture can be controlled by a tack in cases that are irreparable due to severe adhesion.

KEYWORDS

Iliac vein, Rupture, Anterior lumbar surgery, Bleeding control

Citation status

* References for papers published after 2023 are currently being built.

[journal] Brau SA / 2004 / Vascular injury during anterior lumbar surgery / Spine (Phila Pa 1976) 4 : 409~412

[journal] Oskouian RJ / 2002 / Vascular complications in anterior thoracolumbar spinal reconstruction / J Neurosurg 96 : 1~5

[journal] Nguyen HV / 2006 / Anterior exposure of the spine for removal of lumbar interbody devices and implants / Spine (Phila Pa 1976) 31 : 2449~2453

[journal] Flouzat-Lachaniette CH / 2013 / Analysis of intraoperative difficulties and management of operative complications in revision anterior exposure of the lumbar spine : a report of 25 consecutive cases / Eur Spine J 22 : 766~774

[journal] Patel AA / 2008 / Revision strategies in lumbar total disc arthroplasty / Spine (Phila Pa 1976) 33 : 1276~1283

[journal] Schwender JD / 2009 / Perioperative complications in revision anterior lumbar spine surgery : incidence and risk factors / Spine (Phila Pa 1976) 34 : 87~90

[journal] Silvestre C / 2012 / Complications and morbidities of mini-open anterior retroperitoneal lumbar interbody fusion : Oblique lumbar interbody fusion in 179 patients / Asian Spine J 6 : 89~97

[journal] Chiriano J / 2009 / The role of the vascular surgeon in anterior retroperitoneal spine exposure : preservation of open surgical training / J Vasc Surg 50 : 148~151

[journal] Ariyoshi D / 2016 / Inferior vena cava injury caused by an anteriorly migrated cage resulting in ligation : case report / J Neurosurg Spine 24 : 409~412

[journal] Zahradnik V / 2012 / Alternative management of iliac vein injury during anterior lumbar spine exposure / Ann Vasc Surg 26 : E15~E18

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Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03