Successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm

Despite recent advances in technique, spinal cord ischemia remains one of the most dreaded complications of thoracic aortic surgery. Recently, it has been suggested that thoracic endovascular aortic repair may decrease the risk of paraplegia. We present a case of delayed paraplegia following thoraci...

Descripción completa

Detalles Bibliográficos
Autores principales: Appoo, J J, Gregory, H D, Toeg, H D, Prusinkiewicz, C A, Kent, W D T, Ferland, A, Ha, D V
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EDIMES Edizioni Internazionali Srl 2012
Materias:
Case-Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3485390/
https://www.ncbi.nlm.nih.gov/pubmed/23439968
_version_ 1782248299318738944
author Appoo, J J
Gregory, H D
Toeg, H D
Prusinkiewicz, C A
Kent, W D T
Ferland, A
Ha, D V
author_facet Appoo, J J
Gregory, H D
Toeg, H D
Prusinkiewicz, C A
Kent, W D T
Ferland, A
Ha, D V
author_sort Appoo, J J
collection PubMed
description Despite recent advances in technique, spinal cord ischemia remains one of the most dreaded complications of thoracic aortic surgery. Recently, it has been suggested that thoracic endovascular aortic repair may decrease the risk of paraplegia. We present a case of delayed paraplegia following thoracic endovascular aortic repair that was successfully reversed on 3 separate occasions in the same patient. This highlights the importance of vigilant clinical assessments, efficient multidisciplinary teamwork, and maintenance of the determinants of spinal cord perfusion following endovascular thoracic aortic intervention.
format Online
Article
Text
id pubmed-3485390
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher EDIMES Edizioni Internazionali Srl
record_format MEDLINE/PubMed
spelling pubmed-34853902013-02-25 Successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm Appoo, J J Gregory, H D Toeg, H D Prusinkiewicz, C A Kent, W D T Ferland, A Ha, D V HSR Proc Intensive Care Cardiovasc Anesth Case-Report Despite recent advances in technique, spinal cord ischemia remains one of the most dreaded complications of thoracic aortic surgery. Recently, it has been suggested that thoracic endovascular aortic repair may decrease the risk of paraplegia. We present a case of delayed paraplegia following thoracic endovascular aortic repair that was successfully reversed on 3 separate occasions in the same patient. This highlights the importance of vigilant clinical assessments, efficient multidisciplinary teamwork, and maintenance of the determinants of spinal cord perfusion following endovascular thoracic aortic intervention. EDIMES Edizioni Internazionali Srl 2012 /pmc/articles/PMC3485390/ /pubmed/23439968 Text en Copyright © 2012, HSR Proceedings in Intensive Care and Cardiovascular Anesthesia http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License 3.0, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode.
spellingShingle Case-Report
Appoo, J J
Gregory, H D
Toeg, H D
Prusinkiewicz, C A
Kent, W D T
Ferland, A
Ha, D V
Successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm
title Successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm
title_full Successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm
title_fullStr Successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm
title_full_unstemmed Successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm
title_short Successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm
title_sort successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm
topic Case-Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3485390/
https://www.ncbi.nlm.nih.gov/pubmed/23439968
work_keys_str_mv AT appoojj successfulreversalofrecurrentspinalcordischemiafollowingendovascularrepairofadescendingthoracicaorticaneurysm
AT gregoryhd successfulreversalofrecurrentspinalcordischemiafollowingendovascularrepairofadescendingthoracicaorticaneurysm
AT toeghd successfulreversalofrecurrentspinalcordischemiafollowingendovascularrepairofadescendingthoracicaorticaneurysm
AT prusinkiewiczca successfulreversalofrecurrentspinalcordischemiafollowingendovascularrepairofadescendingthoracicaorticaneurysm
AT kentwdt successfulreversalofrecurrentspinalcordischemiafollowingendovascularrepairofadescendingthoracicaorticaneurysm
AT ferlanda successfulreversalofrecurrentspinalcordischemiafollowingendovascularrepairofadescendingthoracicaorticaneurysm
AT hadv successfulreversalofrecurrentspinalcordischemiafollowingendovascularrepairofadescendingthoracicaorticaneurysm

Ejemplares similares