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Case Reports in Medicine
Volume 2011 (2011), Article ID 954572, 4 pages
http://dx.doi.org/10.1155/2011/954572
Case Report

Spinal Cord Ischemia after Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm: A Rare Complication

1Department of Surgery, Vascular Surgery Unit, Medical School, University of Ioannina, 45500 Ioannina, Greece
2Intensive Care Unit, Medical School, University of Ioannina, 45500 Ioannina, Greece
3Department of Anesthesiology, Medical School, University of Ioannina, 45500 Ioannina, Greece

Received 26 February 2011; Accepted 26 April 2011

Academic Editor: Frank R. Arko

Copyright © 2011 George N. Kouvelos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 EVAR procedure. Prompt management by conservative or invasive methods seems to be important for the reversal of the neurologic deficit and the optimization of patient's outcome.