Left Subclavian Artery Revascularization for Delayed Paralysis after Thoracic Endovascular Aortic Repair

Spinal cord ischemia (SCI) is a devastating complication following thoracic endovascular aortic repair (TEVAR). A man with a ruptured thoracic aortic aneurysm (TAA) was transferred to our hospital. Emergency TEVAR, with left subclavian artery (LSA) coverage, was performed for the ruptured TAA. On po...

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Autores principales: Nakamura, Eisaku, Nakamura, Kunihide, Furukawa, Koji, Ishii, Hirohito, Shirasaki, Yukie, Ichiki, Nobuhiko, Higuchi, Kazuhiro, Sakurahara, Daichi, Hamahiro, Tomoka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6600088/
https://www.ncbi.nlm.nih.gov/pubmed/31275481
http://dx.doi.org/10.3400/avd.cr.18-00158
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author Nakamura, Eisaku
Nakamura, Kunihide
Furukawa, Koji
Ishii, Hirohito
Shirasaki, Yukie
Ichiki, Nobuhiko
Higuchi, Kazuhiro
Sakurahara, Daichi
Hamahiro, Tomoka
author_facet Nakamura, Eisaku
Nakamura, Kunihide
Furukawa, Koji
Ishii, Hirohito
Shirasaki, Yukie
Ichiki, Nobuhiko
Higuchi, Kazuhiro
Sakurahara, Daichi
Hamahiro, Tomoka
author_sort Nakamura, Eisaku
collection PubMed
description Spinal cord ischemia (SCI) is a devastating complication following thoracic endovascular aortic repair (TEVAR). A man with a ruptured thoracic aortic aneurysm (TAA) was transferred to our hospital. Emergency TEVAR, with left subclavian artery (LSA) coverage, was performed for the ruptured TAA. On postoperative day two, the patient had incomplete paralysis in his legs, presumably caused by SCI. We performed LSA revascularization (LSAR) to provide blood supply to the spinal cord; his paralysis improved and almost resolved after surgery. To our knowledge, this is the first report on LSAR’s efficacy for delayed paraplegia due to SCI.
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spelling pubmed-66000882019-07-03 Left Subclavian Artery Revascularization for Delayed Paralysis after Thoracic Endovascular Aortic Repair Nakamura, Eisaku Nakamura, Kunihide Furukawa, Koji Ishii, Hirohito Shirasaki, Yukie Ichiki, Nobuhiko Higuchi, Kazuhiro Sakurahara, Daichi Hamahiro, Tomoka Ann Vasc Dis Case Report Spinal cord ischemia (SCI) is a devastating complication following thoracic endovascular aortic repair (TEVAR). A man with a ruptured thoracic aortic aneurysm (TAA) was transferred to our hospital. Emergency TEVAR, with left subclavian artery (LSA) coverage, was performed for the ruptured TAA. On postoperative day two, the patient had incomplete paralysis in his legs, presumably caused by SCI. We performed LSA revascularization (LSAR) to provide blood supply to the spinal cord; his paralysis improved and almost resolved after surgery. To our knowledge, this is the first report on LSAR’s efficacy for delayed paraplegia due to SCI. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019-06-25 /pmc/articles/PMC6600088/ /pubmed/31275481 http://dx.doi.org/10.3400/avd.cr.18-00158 Text en Copyright © 2019 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2019 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Nakamura, Eisaku
Nakamura, Kunihide
Furukawa, Koji
Ishii, Hirohito
Shirasaki, Yukie
Ichiki, Nobuhiko
Higuchi, Kazuhiro
Sakurahara, Daichi
Hamahiro, Tomoka
Left Subclavian Artery Revascularization for Delayed Paralysis after Thoracic Endovascular Aortic Repair
title Left Subclavian Artery Revascularization for Delayed Paralysis after Thoracic Endovascular Aortic Repair
title_full Left Subclavian Artery Revascularization for Delayed Paralysis after Thoracic Endovascular Aortic Repair
title_fullStr Left Subclavian Artery Revascularization for Delayed Paralysis after Thoracic Endovascular Aortic Repair
title_full_unstemmed Left Subclavian Artery Revascularization for Delayed Paralysis after Thoracic Endovascular Aortic Repair
title_short Left Subclavian Artery Revascularization for Delayed Paralysis after Thoracic Endovascular Aortic Repair
title_sort left subclavian artery revascularization for delayed paralysis after thoracic endovascular aortic repair
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6600088/
https://www.ncbi.nlm.nih.gov/pubmed/31275481
http://dx.doi.org/10.3400/avd.cr.18-00158
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