Endovascular stenting of external iliac vein injury during anterior spine exposure

Adith S Arun; James J Yue; Vasant B Khachane; Bauer Sumpio; Britt H Tonnessen

doi:10.1016/j.jvscit.2024.101506

Endovascular stenting of external iliac vein injury during anterior spine exposure

J Vasc Surg Cases Innov Tech. 2024 Apr 15;10(4):101506. doi: 10.1016/j.jvscit.2024.101506. eCollection 2024 Aug.

Authors

Adith S Arun¹, James J Yue^{2

3}, Vasant B Khachane^{3

4}, Bauer Sumpio⁵, Britt H Tonnessen⁵

Affiliations

¹ Yale School of Medicine, New Haven, CT.
² Connecticut Orthopaedics, Hamden, CT.
³ HeartCare Associates of Connecticut, LLC, Hamden, CT.
⁴ Yale New Haven Hospital, New Haven, CT.
⁵ Division of Vascular Surgery and Endovascular Therapy, Yale School of Medicine, New Haven, CT.

Abstract

Anterior lumbar interbody fusion (ALIF) is a standard approach for the surgical management of patients with severe degenerative disease at the L4-L5 and lumbosacral (L5-S1) levels. ALIF is performed through retroperitoneal exposure but harbors a small risk of major vascular injury. In this case, we describe an emergent endovascular repair of an external iliac vein injury that occurred during ALIF with long-term follow-up. We discuss specific strategies in the decision making and technique that led to a successful outcome in this case. Endovascular stent grafting is a potential bailout option for serious iliac vein injury.

Keywords: Anterior spine exposure; Endovascular technique; Venous injury.

Publication types

Case Reports