Related Experiment Video
Updated: Jul 19, 2026
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Endovascular graft for late iatrogenic vascular complication after anterior spinal instrumentation: a case report
Henk D Been1, Gino M M J Kerkhoffs, Ron Balm
1Department of Orthopedic Surgery, Academic Medical Center, Amsterdam, The Netherlands. H.D.Been@amc.uva.nl
Study Design:
Case report.
Objective:
To describe an endovascular treatment option for (late) vascular complications after anterior spinal instrumentation.
Summary Of Background Data:
Severe progressive scoliosis is a well-known feature in Marfan's disease. Although overall complication rate after surgical correction of the spinal deformity is rather high, late iatrogenic complications are less frequently identified.
Methods:
A 40-year-old woman with Marfan's disease reported to our outpatient clinic with dyspnoe d'effort, 20 years after anterior spinal instrumentation of a thoracolumbar scoliosis. Routine screening identified a saccular aneurysm of the descending thoracic aorta. A contrast-enhanced CT scan revealed that the most proximal screw of the construct had perforated the vessel wall and caused a false aneurysm. An endovascular approach to the problem was chosen; by a transfemoral approach, an AneuRx endovascular graft was successfully implanted.
Results:
The patient had an uneventful postoperative course and was discharged within 5 days. At 5-year follow-up, the patient still has no clinical complaints, nor radiographic leakage nor recurrence of the false aneurysm at contrast-enhanced CT screening.
Conclusion:
Use of an endovascular graft is an adequate alternative for treatment of late vascular complications after anterior spinal instrumentation.
