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KMID : 1037520210370030030
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Vascular Specialist International
2021 Volume.37 No. 3 p.30 ~ p.30
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Endovascular Repair of an Ilio-Iliac Arteriovenous Fistula with Pseudoaneurysm after Lumbar Disc Surgery: A Case Report
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Kim Cho-Shin
Hwang Deok-Bi
Yun Woo-Sung
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Abstract
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Aortoiliac vascular injury during lumbar disc surgery is potentially life-threatening, but occasionally presents with delayed-onset symptoms. This is a case report of a fistulized pseudoaneurysm presenting with claudication. A 73-year-old female presented with swelling of the left leg and short-distance claudication. Two months prior, she had undergone discectomy for the management of right foot drop caused by an L4-L5 herniated lumbar disc. The left ankle-brachial index was 0.71. Computed tomography angiography revealed a 31 mm×20 mm pseudoaneurysm of the left common iliac artery fistulized to the left common iliac vein. The patient was successfully treated with stent graft placement.
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KEYWORD
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Lumbar disc surgery, Vascular injury, Endovascular treatment
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Listed journal information
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