Spinal Cord Ischemia Following Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm

Spinal cord injury (SCI) following endovascular aortic repair (EVAR) for an abdominal aortic aneurysm (AAA) is a rare but serious complication. Case 1 presented with ruptured AAA and shock and underwent emergency EVAR. The patient developed incomplete paraplegia 2 days following EVAR. Case 2, diagno...

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Detalles Bibliográficos
Autores principales: Nakai, Shingo, Uchida, Tetsuro, Kuroda, Yoshinori, Yamashita, Atsushi, Oba, Eiichi, Kobayashi, Kimihiro, Ochiai, Tomonori, Sadahiro, Mitsuaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7751069/
https://www.ncbi.nlm.nih.gov/pubmed/33384742
http://dx.doi.org/10.3400/avd.cr.20-00061
Descripción
Sumario:Spinal cord injury (SCI) following endovascular aortic repair (EVAR) for an abdominal aortic aneurysm (AAA) is a rare but serious complication. Case 1 presented with ruptured AAA and shock and underwent emergency EVAR. The patient developed incomplete paraplegia 2 days following EVAR. Case 2, diagnosed with impending rupture of AAA with extremely shaggy aorta, was treated with emergency EVAR. The patient was diagnosed with complete paraplegia soon after EVAR. Case 3 underwent elective EVAR and developed delayed paraplegia 2 weeks later. In EVAR, the etiology of SCI leading to paraplegia is often multifactorial. Surgeons must consider the possibility of SCI-induced paraplegia.

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