External Iliac Artery Occlusion in Posterior Spinal Surgery

Akagi, Shigeo; Yoshida, Yugo; Kato, Ishashi; Sasai, Kunihiko; Saito, Takanori; Imamura, Atsushi; Ogawa, Ryokei

doi:10.1097/00007632-199904150-00016

Cited by 18 publications

(8 citation statements)

References 12 publications

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“…A close association between smoking and thrombosis has been reported [1]. A close association between smoking and thrombosis has been reported [1].…”

Section: Discussionmentioning

confidence: 92%

Arterial complications following anterior lumbar interbody fusion: report of eight cases

Kulkarni¹,

Lowery²,

Ross

et al. 2003

Eur Spine J

109

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“…A close association between smoking and thrombosis has been reported [1]. A close association between smoking and thrombosis has been reported [1].…”

Section: Discussionmentioning

confidence: 92%

Arterial complications following anterior lumbar interbody fusion: report of eight cases

Kulkarni¹,

Lowery²,

Ross

et al. 2003

Eur Spine J

109

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“…A patient having posterior spinal fusion on a similar frame developed signs and symptoms of acute unilateral lower limb ischaemia after complete occlusion of the external iliac artery 3 h after operation. 4 Emergency thrombectomy restored flow, and there were no long-term sequelae. Pressure from the frame posts on the inguinal region was proposed as a cause.…”

Section: Indirect Pressure Injuriesmentioning

confidence: 91%

Anaesthesia in the prone position

Edgcombe

Carter

Yarrow

2008

British Journal of Anaesthesia

444

288

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Prone positioning of patients during anaesthesia is required to provide operative access for a wide variety of surgical procedures. It is associated with predictable changes in physiology but also with a number of complications, and safe use of the prone position requires an understanding of both issues. We have reviewed the development of the prone position and its variants and the physiological changes which occur on prone positioning. The complications associated with this position and the published techniques for various practical procedures in this position will be discussed. The aim of this review is to identify the risks associated with prone positioning and how these risks may be anticipated and minimized.

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“…7 SSEP changes due to femoral artery ischemia have also been demonstrated in the setting of spine instrumentation. 9,10 In sum, we maintain that the benefits of neuromonitoring to potentially prevent adverse neurological outcomes in high-risk patients justify its additional cost. We recommend triaging cases where neuromonitoring will be most helpful, endovascular procedures included.…”

Section: Discussionmentioning

confidence: 88%

Detection of acute femoral artery ischemia during neuroembolization by somatosensory and motor evoked potential monitoring

et al. 2015

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Neuromonitoring can be used to map out particular neuroanatomical tracts, define physiologic deficits secondary to specific pathology or intervention, or predict postoperative outcome and proves essential in the detection of central and peripheral ischemic events during neurosurgical intervention. Herein, we describe an instance of elective balloon-assisted coiling of a recurrent basilar tip aneurysm in a 61-year-old woman, where intraoperative somatosensory evoked potentials (SSEPs) and transcranial motor evoked potentials (TcMEPs) were lost in the right lower extremity intraoperatively. We aim to highlight that targeted use of monitoring proves advantageous in both the open surgical and endovascular setting, even in the avoidance of potential iatrogenic peripheral nerve damage and limb ischemia as documented herein. Consideration of the increased risk for peripheral ischemia in the neurointerventional setting is especially imperative in particular populations where blood vessels might be of diminished size, such as in infants, young children, and severely deconditioned adults.

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External Iliac Artery Occlusion in Posterior Spinal Surgery

Abstract: Prolonged direct pressure on the inguinal region during posterior spinal surgery on a Hall frame may cause external iliac artery occlusion. Early recognition and adequate treatment can prevent serious sequelae.

Cited by 18 publications

References 12 publications

Arterial complications following anterior lumbar interbody fusion: report of eight cases

Arterial complications following anterior lumbar interbody fusion: report of eight cases

Anaesthesia in the prone position

Detection of acute femoral artery ischemia during neuroembolization by somatosensory and motor evoked potential monitoring

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