Interventional Radiology Management of a Ruptured Lumbar Artery Pseudoaneurysm after Cryoablation and Vertebroplasty of a Lumbar Metastasis

We describe the management of a complication (a lumbar artery pseudoaneurysm and its rupture) after combined procedure (cryoablation and vertebroplasty) on a lumbar (L2) metastasis from renal cell carcinoma. Review of the literature is also presented with discussion about the measures to be taken to prevent these types of complications.

[1]  M. Wenger.  Vertebroplasty for metastasis , 2003, Medical oncology.

[2]  D. Shatz,et al.  Lumbar Artery Pseudoaneurysm , 2004, European Journal of Trauma.

[3]  J. Kakisis,et al.  Peripheral arterial embolization of cement during revision spine surgery. , 2009, Annals of vascular surgery.

[4]  A. Gangi,et al.  Sclerotic Vertebral Metastases: Pain Palliation Using Percutaneous Image-Guided Cryoablation , 2011, CardioVascular and Interventional Radiology.

[5]  K. Lu,et al.  Anterior Spinal Artery Syndrome Following Vertebroplasty: A Case Report , 2010, Spine.

[6]  R. Colen,et al.  Lumbar artery pseudoaneurysm after percutaneous vertebroplasty: a unique vascular complication. , 2011, Journal of neurosurgery. Spine.

[7]  T. Krings,et al.  Cement Embolization of a Segmental Artery after Percutaneous Vertebroplasty: A Potentially Catastrophic Vascular Complication , 2012, Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences.

[8]  G. Simonetti,et al.  Combined use of percutaneous cryoablation and vertebroplasty with 3D rotational angiograph in treatment of single vertebral metastasis: comparison with vertebroplasty , 2013, Neuroradiology.

[9]  Y. Yamashita,et al.  Direct percutaneous embolization of an iatrogenic lumbar artery pseudoaneurysm following unsuccessful coil embolization , 2012, Acta radiologica.

[10]  M. Reiser,et al.  CT fluoroscopy-guided percutaneous vertebroplasty in spinal malignancy: technical results, PMMA leakages, and complications in 202 patients , 2012, Skeletal Radiology.