Research article summary (published 29 Jun 2009):

Continuous somatosensory evoked potentials monitoring is highly sensitive to intraoperative occlusion of iliac artery during anterior lumbar interbody fusion: case report.

Full Abstract

We report a case of thrombotic occlusion of the left common iliac artery during an L5-S1 anterior interbody fusion exposed via a retroperitoneal approach. The loss of distal blood flow was detected by loss of cortical and peripheral somatosensory evoked potentials on the left lower extremity. Restoration of the blood flow resulted in gradual return of evoked potentials of the involved extremity. The neurophysiological and pulse oximetry monitoring of the lower extremities are extremely sensitive for an early detection of thrombotic occlusions and vascular complications.

Author information

Author/s: Haghighi, S S (SS); Zhang, R (R); Raiszadeh, R (R); Chammas, J (J); Bench, G (G); Raiszadeh, K (K); Terramanis, T T (TT);

Affiliation: Department of Clinical Neurodiagnostics La Jolla Spine Institute, San Diego, California, USA. Siavash.haghighi(-atsign-)sharp.com

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: Electromyography and clinical neurophysiology (Electromyogr Clin Neurophysiol), published in Belgium. (Language: eng)

Reference: -2009 Jul-Aug; vol 49 (issue 5) : pp 223-6

Dates: Created 2009/08/21; Completed 2009/10/08;

PMID: 19694209, status: MEDLINE (last retrieval date: 10/8/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Aged Evoked Potentials, Somatosensory - physiology Humans Iliac Artery Lumbar Vertebrae Male Monitoring, Intraoperative

Monitoring, Intraoperative Retroperitoneal Space Sacrum Sensitivity and Specificity Spinal Fusion - adverse effects Spinal Stenosis - pathology; physiopathology; surgery Thrombosis - diagnosis; etiology; physiopathology

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