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Retained Lumbar Drain Tip Leading to Intrathecal Hematoma: A Case Report on Perioperative Risks and Management
Seung J Lee1,2, Kanchana Gattu1, Joshua W Sappenfield3
1Anesthesiology, University of Maryland School of Medicine, Baltimore, USA.
Intrathecal catheters for cerebrospinal fluid (CSF) drainage during surgery can cause serious complications like hematoma. Careful management and monitoring are crucial to prevent adverse events, especially in anticoagulated patients.
Area of Science:
- Neurosurgery
- Cardiovascular Surgery
- Anesthesiology
Background:
- Intrathecal catheters are vital for cerebrospinal fluid (CSF) drainage in thoracoabdominal aortic aneurysm (TAAA) repair, mitigating spinal cord injury and paraplegia risk.
- Complications include infection, catheter retention, and hematoma, particularly with anticoagulation.
- A case of intrathecal hematoma post-lumbar drain removal in an anticoagulated patient is presented.
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