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Foot Drop after Ilio-Caval Vein Stenting: Radicular syndrome from stent misplacement in the spinal canal.

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BACKGROUND Endovascular procedures have become more and more prevalent in both general vascular and neurosurgical practices. Since these procedures rely on real-time bi-dimensional control through fluoroscopic guidance, they can be… Click to show full abstract

BACKGROUND Endovascular procedures have become more and more prevalent in both general vascular and neurosurgical practices. Since these procedures rely on real-time bi-dimensional control through fluoroscopic guidance, they can be prone to spatial misplacement in the third dimension when not controlled in two different radiological planes. CASE DESCRIPTION We report a unique complication of an ilio-caval vessel stenting procedure with misplacement of a venous stent in the spinal canal. The case illustrates the close vascular relationship between the large venous vessels of the abdomen and pelvis and the epidural plexus of the spinal canal. CONCLUSIONS The complex venous anatomy of the lumbar region and lumbar epidural space is through this unique case illustrated. We believe this may serve both vascular surgeons and neurosurgeons in their daily practice.

Keywords: misplacement; foot drop; drop ilio; spinal canal; ilio caval

Journal Title: World neurosurgery
Year Published: 2020

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