Spinal cord ischemia is a rare and devastating complication after elective abdominal aortic aneurysm repair. It has recently been reported to occur after endovascular aortic aneurysm repair. We report the first case of delayed neurologic deficit after endovascular aortic aneurysm repair using the Zenith (Cook) device.
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References
1.
SzilagyiD.E., HagemanJ.H., SmithR.F., IlliottJ.P.Spinal cord damage in surgery of the abdominal aorta.Surgery1978; 83: 38–56.
2.
ZarinsC.K., WhiteR.A., SchwartanD.AneuRx stent graft versus open surgical repair of abdominal aortic aneurysms: Multicenter prospective trial.J Vasc Surg1999; 29: 292–308.
3.
BergP., KaufmannD., van MarrewijkC.J., ButhJ.Spinal cord ischemia after stent-graft treatment for infrarenal abdominal aortic aneurysm. Analysis of the Eurostar database.Eur J Vasc Endovasc Surg2001; 22: 342–7.
4.
RockmanC.B., RilesT.S., LandisR.Lower extremity paraparesis or paraplegia subsequent to endovascular repair management of abdominal aortic aneurysms.J Vasc Surg2001; 33: 178–80.
5.
KwokP.C., ChungT.K., ChongL.C.Neurologic injury after endovascular stent graft and bilateral iliac artery embolization for infrarenal abdominal aortic aneurysm.J Vasc Interv Radiol2001; 12: 761–3.
6.
GarciaN.D., TehraniH., MoraschM.Spinal cord ischemia following endovascular repair of infrarenal aortic aneurysm.Ann Vasc Surg2002; 16: 509–12.
FortesD.L., AtkinsB.Z., ChiouA.C.Delayed paraplegia following infrarenal abdominal aortic endograft placement: Case report and literature review.Vascular2004; 12: 130–5.
9.
ChiesaR., MelissanoG., MassimilanoM.M.T.Spinal cord ischemia after elective stent-graft repair of the thoracic aorta.J Vasc Surg2005; 42: 11–7.
10.
PeppelenboschN., CuypersP., VahlA.Emergency endovascular treatment for ruptures abdominal aortic aneurysm and the risk of spinal cord ischemia.J Vasc Surg2005; 42: 608–14.
KoshinoT., MurakamiG., MorishitaK.Does the Adamkiewicz artery originate from the larger segmental arteries?J Thorac Cardiovasc Surg1999; 117: 898–905.
14.
JacobsT.P., KempskiO., McKinleyD.Blood flow and vascular permeability during motor dysfunction in a rabbit model of spinal cord ischemia.Stroke1992; 23: 367–73.
15.
SafiH.J., HessK.R., RandelM.Cerebrospinal fluid drainage and distal aortic perfusion: Reducing neurologic complications in repair of thoracoabdominal aortic aneurysm types I and II.J Vasc Surg1996; 23: 223–8.
16.
GaruttiI., FernandezC., BardinaA.Reversal of paraplegia via cerebrospinal fluid drainage after abdominal aortic surgery.J Cardiothorac Vasc Anesth2002; 16: 471–2.
