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Year : 2017  |  Volume : 3  |  Issue : 3  |  Page : 39-43

Vascular injury during spinal surgery

1 Department of Surgery, The Reading Hospital and Medical Center, PA, USA
2 OPUS 12 Foundation, King of Prussia, PA, USA

Correspondence Address:
Stanislaw P Stawicki
St. Luke's University Health Network, EW2 Research Administration, 801 Ostrum Street, Bethlehem, PA 18015
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJAM.IJAM_97_16

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Key points: (a) Iatrogenic vascular injury is a rare but well recognized complication of spinal surgery; (b) The most serious injuries involve the aorta and its major branches; (c) Vascular injuries following spinal surgery can present early or late; (d) Early presentation usually involves intraoperative hemorrhage and may be associated with hemodynamic instability; (e) Injuries that present late include pseudoaneurysms and arteriovenous fistulae; (f) Arteriography– traditional, CT or MRI angiography– should be used to diagnose the injury and define relevant vascular anatomy; (g) Therapy may require surgery or interventional techniques. The following core competencies are addressed in this article: Medical knowledge, Patient care. Republished with permission from: Reilly EF, Weger NS, Stawicki SP. Vascular injury during spinal surgery. OPUS 12 Scientist 2008;2(2):7-10.

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