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Endovascular treatment of an iatrogenic thoracic aortic injury after spinal instrumentation: case report  Michael E Minor, MD, Nicholas J Morrissey, MD,

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Presentation on theme: "Endovascular treatment of an iatrogenic thoracic aortic injury after spinal instrumentation: case report  Michael E Minor, MD, Nicholas J Morrissey, MD,"— Presentation transcript:

1 Endovascular treatment of an iatrogenic thoracic aortic injury after spinal instrumentation: case report  Michael E Minor, MD, Nicholas J Morrissey, MD, Richard Peress, MD, Alfio Carroccio, MD, Sharif Ellozy, MD, Gautam Agarwal, MD, Victoria Teodorescu, MD, Larry H Hollier, MD, Michael L Marin, MD  Journal of Vascular Surgery  Volume 39, Issue 4, Pages (April 2004) DOI: /j.jvs

2 Fig 1 Lateral chest radiograph demonstrates posterior spinal instrumentation. Journal of Vascular Surgery  , DOI: ( /j.jvs )

3 Fig 2 Non–contrast-enhanced CT scan obtained 1 month after spinal instrumentation. The T5 pedical screw is seen impinging on the thoracic aorta (TA). Journal of Vascular Surgery  , DOI: ( /j.jvs )

4 Fig 3 A and B, CT angiograms and of the thoracic aorta suggest that the T5 pedicle screw may penetrate the thoracic aorta. Journal of Vascular Surgery  , DOI: ( /j.jvs )

5 Fig 4 Thoracic aortogram demonstrates the misplaced pedicle screw.
Journal of Vascular Surgery  , DOI: ( /j.jvs )

6 Fig 5 Intraoperative aortograms before (A) and immediately after (B) stent-graft deployment. Note that one of the two superiormost screws (arrow) has been removed. Journal of Vascular Surgery  , DOI: ( /j.jvs )

7 Fig 6 CT angiogram obtained 1 month after stent-graft placement. Section shown is at the level of injury. Journal of Vascular Surgery  , DOI: ( /j.jvs )

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