JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sadhasivam, S.
Right arrow Articles by Kaynar, A. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sadhasivam, S.
Right arrow Articles by Kaynar, A. M.
Related Collections
Right arrow Neuroanesthesia
Right arrow Complications

Anesth Analg 2004;99:1815-1817
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000137391.55836.56

NEUROSURGICAL ANESTHESIA

Iatrogenic Arteriovenous Fistula During Lumbar Microdiscectomy

Senthilkumar Sadhasivam, MD*, and A. Murat Kaynar, MD{dagger}

*Department of Anesthesiology and Critical Care, Children’s Hospital of Philadelphia, University of Pennsylvania; and {dagger}Department of Anesthesiology and Critical Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston

Address correspondence and reprint request A. Murat Kaynar, MD, Department of Anesthesiology and Critical Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215. Address e-mail to mkaynar{at}bidmc.harvard.edu

Vascular lacerations, arteriovenous fistulae, and pseudoaneurysms are rare, but potentially life threatening, complications of lumbar disk surgery. These iatrogenic vascular injuries may present with significant hypotension during the perioperative period. Early diagnosis and surgical repair may decrease morbidity and mortality. We discuss perioperative implications of postdiscectomy vascular injuries in this report.

IMPLICATIONS: Iatrogenic vascular injuries after lumbar disk surgery are rare but potentially life threatening. Such injuries may perioperatively present in a diverse array of manifestations, and often the diagnosis is delayed or overlooked, which may increase morbidity and mortality. Early diagnosis and surgical repair of these vascular injuries can be life saving.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2004 by the International Anesthesia Research Society.