Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (43): 7018-7022.doi: 10.3969/j.issn.2095-4344.2014.43.022

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Artificial blood vessel transplantation for common iliac artery injury following lumbar discectomy: a case analysis

Luo Wan-rong, Yi Wei-hong, Wang Min, Huang Cao, Liu Dong-ning, Yang Da-zhi, Wang Er-tian   

  1. Department of Spinal Surgery, Nanshan Affiliated Hospital of Guangdong Medical College, Shenzhen 518052, Guangdong Province, China
  • Received:2014-09-24 Online:2014-10-15 Published:2014-10-15
  • Contact: Yi Wei-hong, M.D., Chief physician, Department of Spinal Surgery, Nanshan Affiliated Hospital of Guangdong Medical College, Shenzhen 518052, Guangdong Province, China
  • About author:Luo Wan-rong, Master, Attending physician, Department of Spinal Surgery, Nanshan Affiliated Hospital of Guangdong Medical College, Shenzhen 518052, Guangdong Province, China
  • Supported by:

    the Natural Science Foundation of Guangdong Province, No. S2012010008531

Abstract:

BACKGROUND: Major abdominal vascular injury is a seldom serious complication during lumbar discectomy. Once occurring, it will cause critical condition, and incorrect rescue and operation will lead to patient’s death or functional disorder of the limbs.
OBJECTIVE: To explore the cause, diagnosis, prevention and treatment action for major abdominal vascular injury caused by lumbar discectomy.
METHODS: One case of common iliac artery injury caused by lumbar discectomy was reviewed in the aspects of diagnosis, prevention and treatment action.
RESULTS AND CONCLUSION: The case suffered from common iliac artery injury caused by lumbar discectomy of right L4-5 vertebrae, and achieved successful rescue by timely diagnosis, surgical intervention and artificial blood vessel transplantation. Injury of the vessels is relevant with many factors, including surgical operation, anatomy, pathology, etc. Unexplained intervertebral hemorrhage accompanied with sudden drop of blood pressure during surgery hints the possible occurrence of major vascular injury. Accurate diagnosis and instant surgical intervention is the key to rescue the patient’s life.


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


全文链接:

Key words: intervertebral disk displacement, dissection, iliac artery

CLC Number: