REVIEW ARTICLE: REPUBLICATION |
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Year : 2017 | Volume
: 3
| Issue : 3 | Page : 39-43 |
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Vascular injury during spinal surgery
Eugene F Reilly1, Natalie S Weger2, Stanislaw P Stawicki2
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 USA
 Source of Support: None, Conflict of Interest: None  | Check |
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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