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Endovascular Management of Aortic Injuries Caused by Pedicle Screws: A Two-Case Series With a Proposed Decision-Making Framework

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Case series highlights effective thoracic endovascular repair in aortic injuries from pedicle screws, suggesting a new decision-making framework.

Both patients successfully treated with thoracic endovascular aortic repair (TEVAR) and pedicle screw revision, ensuring safety.
Crucial role of intravenous ultrasound (IVUS) in evaluating vascular involvement, enhancing treatment precision.
Multidisciplinary approach essential for optimal outcomes, with no perioperative complications observed at follow-up.
Proposed structured decision-making framework aims to guide spine surgeons facing vascular complications during surgeries.

Rosales et al. (2025) studied this question.

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Case series highlights effective thoracic endovascular repair in aortic injuries from pedicle screws, suggesting a new decision-making framework.