Staged procedures for prevention of spinal cord ischemia in endovascular aortic surgery
نویسندگان
چکیده
منابع مشابه
Recurrent spinal cord ischemia after endovascular stent grafting for chronic traumatic aneurysm of the aortic isthmus.
This report describes the development of recurrent spinal cord ischemia in a patient after insertion of a stent graft into the upper segment of the descending thoracic aorta for the treatment of a chronic traumatic aneurysm of the aortic isthmus. Intraoperatively, the stent covered the ostium of the left T7 artery, which was shown to give rise to a middle dorsal artery by postoperative spinal c...
متن کاملSuccessful 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 thoracic endovascular aortic repair that was successfully reversed on 3 separate occasions in the same p...
متن کاملRisk factors, outcomes, and clinical manifestations of spinal cord ischemia following thoracic endovascular aortic repair.
OBJECTIVE The purpose of this study was to assess the incidence, risk factors, and clinical manifestations of spinal cord ischemia (SCI) after thoracic endovascular aortic repair (TEVAR). METHODS A retrospective review of a prospectively collected database was performed for all patients undergoing TEVAR at a single academic institution between July 2002 and June 2010. Preoperative demographic...
متن کاملSpinal Cord Ischemia after Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm: A Rare Complication
Neurologic deficit secondary to spinal cord ischemia after elective infrarenal, endovascular aneurysm repair (EVAR), consists a rare and rather disastrous complication. The etiology of such neurologic complication seems to be multifactorial, making this event unpredictable and foremost unpreventable. We report a case of paraparesis and bladder dysfunction that occurred immediately after the EVA...
متن کاملProtecting the Spinal Cord in Thoracoabdominal Aortic Procedures
1. Be able to identify patients undergoing thoracoabdominal aortic procedures who are at high risk of spinal cord ischemia. 2. Learn intraoperative management strategies and techniques to decrease the risk of spinal cord ischemia in patients undergoing thoracoabdominal aortic procedures. 3. Learn the indications for lumbar cerebral spinal fluid drainage in patients undergoing thoracoabdominal a...
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ژورنال
عنوان ژورنال: Gefässchirurgie
سال: 2018
ISSN: 0948-7034,1434-3932
DOI: 10.1007/s00772-018-0410-z