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https://doi.org/10.4261/1305-3825.dir.1018-07.4

has been cited by the following article:

• TITLE: Case Report: Post Lumbar Discectomy Acute Iliac Arteriovenous Fistula; Endovascular Management and Literature Review

  AUTHORS: Mohamed A. Khoudir, Ghassan M. Aweja, Abdulkarim M. Katebi, Ahmed Farag, Mahmoud S. Attia, Mohmed S. Sobih

  KEYWORDS: Iliac Arteriovenous Fistula, Post-Discectomy AVF, Endovascular

  JOURNAL NAME: Neuroscience and Medicine, Vol.11 No.4, December 16, 2020

  ABSTRACT: Posterior approach lumbar disc surgeries (LDS) can be associated with serious iatrogenic vascular complications which could be a serious life threatening condition. We report a rare case of right sided acute iliac vessels iatrogenic arteriovenous fistula (IAVF) which was diagnosed and managed in 24 hours duration in a 45 years old healthy female who underwent surgical posterior approach L4-5 discectomy. Intraoperative, she developed sudden hypotension, tachycardia, wide pulse pressure and acute drop of hemoglobin level without obvious operative site bleeding which raise the index of suspicion of vascular injury and urge the team for doing emergency CT angiography (CTA), vascular and endovascular team consultation for digital subtraction angiography (DSA) and endovascular management. Endovascular stenting is nowadays the modality of choice of intervention. We provide case report with literature review.