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Minim Invasive Ther Allied Technol. 2013 Feb;22(1):56-60. doi: 10.3109/13645706.2012.692332. Epub 2012 Nov 7.

Endovascular treatment of iatrogenic aortic injury after spinal surgery.

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1
Department of Angiography and Endovascular Therapy, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Abstract

A 59-year-old female presented to our institution with paraparesis caused by medullar compression secondary to multiple myeloma. Spinal cord decompression and transpedicular spine fixation were performed. A month later, the patient complained of sudden pain in her middle back. A CT scan revealed screw impingement on the aortic wall at T8 level. A thoracic stent-graft was deployed before removing the fixation. The patient had an uneventful postoperative course, without complications during the four-year follow-up. In this case report, stent-graft placement proved to be safe and effective in avoiding bleeding during screw removal.

PMID:
23134443
DOI:
10.3109/13645706.2012.692332
[Indexed for MEDLINE]
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