Lumbar artery branch injury secondary to ureteroscopic manipulation

Rothberg, Michael B.; Monga, Manoj; Gupta, Mantu

doi:10.5489/cuaj.1972

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…LA injury is more common in abdominal trauma and knife stab wounds, [13–14] but there has been no lack of reports on iatrogenic LA injury, which is more common in spine surgery [6–9,15–18] and urinary surgery. [19–20] In a previous meta-analysis, the surgical technical complication incidence associated with PVP (PKP) ranged from 1.8% to 3.8%. [21–22] However, vascular complications associated with PVP (PKP), such as aortic adventitial injury, [23] infection-induced aortic aneurysm [24] and LA injury, [6–9] have not been systematically documented.…”

Section: Discussionmentioning

confidence: 99%

An anatomical study on lumbar arteries related to the extrapedicular approach applied during lumbar PVP (PKP)

Liu

Cheng²,

Wang

et al. 2019

PLoS ONE

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To observe the regional anatomy of the lumbar artery (LA) associated with the extrapedicular approach applied during percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP), we collected 78 samples of abdominal computed tomography angiography imaging data. We measured the nearest distance from the center of the vertebral body puncture point to the LA (distance VBPP-LA, D VBPP-LA ). According to the D VBPP-LA , four zones, Zone I, Zone II, Zone III and Zone IV, were identified. LAs that passed through these zones were called Type I, Type II, Type III and Type IV LAs, respectively. A portion of the lumbar vertebrae had an intersegmental branch that originated from the upper segmental LA and extended longitudinally across the lateral wall of the pedicle; it was called Type V LA. Compared with the D VBPP-LA in L1, L2, L3 and L4, the overall difference and between-group differences were significant ( P < 0.05). In L1, L2, L3, L4 and L5, there were 8, 4, 4, 0 and 1 Type I LAs, respectively. There were no Type V LAs in L1 and L2, but there were 2, 16 and 26 Type V LAs in L3, L4 and L5, respectively. In L1-L5, the numbers of Type I LA plus Type V LA were 8, 4, 6, 16 and 27, and the presence ratios were 5.1%, 2.6%, 5.6%, 10.3% and 17.3%, respectively. In L4 and L5, the male presence ratios of Type I LA plus Type V LA were 7.1% and 10.7%, respectively, and the female presence ratios were 13.9% and 25.0%, respectively. Thus, extrapedicular PVP (PKP) in lumbar vertebrae had a risk of LA injury and was not suggested for use in L4 and L5, especially in female patients.

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Section: Discussionmentioning

confidence: 99%

An anatomical study on lumbar arteries related to the extrapedicular approach applied during lumbar PVP (PKP)

Liu

Cheng²,

Wang

et al. 2019

PLoS ONE

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“…There are many cases in the literature review that describe these injuries secondary to spinal fusion or instrumentation, 1 to abdominal trauma, 2 to invasive diagnostic and treatment procedures 3 , 4 (ureteroscopy, vertebral biopsy, percutaneous nephrolithotomy). Delayed hemorrhage accounts for 1% of complications secondary to major percutaneous procedures.…”

Section: Discussionmentioning

confidence: 99%

Lumbar Artery Pseudoaneurysm: A Complication of Percutaneous Nephrostomy

Djuimo

Aubé

Béland

et al. 2017

Urology Case Reports

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A 21 year-old male underwent nephrostomy tube insertion for hydronephrosis due to a large para-aortic adenopathy of a testicular tumor. In order to reduce infections during chemotherapy, a ureteral stent was placed. While removing the nephrostomy tube, a pulsatile bleeding was found and a renal angiography was done. A pseudoaneurysm of his first left lumbar (L1) artery communicating with the nephrostomy's access site was found. An embolization was performed with coils in the left L1 artery and one of its subdivisions. Post-embolization controls revealed no bleeding. On the follow-up CT, there were no suspicious retroperitoneal mass.

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“…These advances have enabled a drastic reduction in the percentage of complications from the first series, which showed a rate of 20% [6] , to the last multicentric series, with a global rate of intraoperative and postoperative complications of 6.3% and 3.5% respectively [5] .Complications can be classified as intraoperative and postoperative 7 and they are listed in Table1 [5,7,8,9,10,11,12,13,14] .…”

Section: Introductionmentioning

confidence: 99%

Complications of Endourologic Procedures: A Review on Iatrogenic Ureteral Perforation

Cruz¹,

Morcillo²,

Folkersma³

et al. 2017

ARC Journal of Urology

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The aim of this study is to describe ureteral perforation as a complication of endourologic procedures; its incidence, risk factors, complications and treatment. Ureteral perforation is an injury that involves the entire thickness of the ureteral wall; whose incidence rate is less than 2%. It is related to the caliber of the equipment, the duration of the intervention, the surgeon's experience, the characteristics and location of the stones and the condition of the ureter prior to the intervention. Late diagnosis or inadequate management may lead to more serious complications such as urinoma, fever, and long-term stricture and obstructive uropathy. The treatment of this complication in the majority of cases consists in Double-Jstenting with a success rate over 80%; when this treatment fails, the following therapeutic options are Percutaneous Nephrostomy and reconstructive surgery.

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Lumbar artery branch injury secondary to ureteroscopic manipulation

Cited by 4 publications

References 3 publications

An anatomical study on lumbar arteries related to the extrapedicular approach applied during lumbar PVP (PKP)

An anatomical study on lumbar arteries related to the extrapedicular approach applied during lumbar PVP (PKP)

Lumbar Artery Pseudoaneurysm: A Complication of Percutaneous Nephrostomy

Complications of Endourologic Procedures: A Review on Iatrogenic Ureteral Perforation

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