Table of Contents Author Guidelines Submit a Manuscript
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.

Linked References

  1. D. E. Szilagyi, “A second look at the etiology of spinal cord damage in surgery of the abdominal aorta,” Journal of Vascular Surgery, vol. 17, no. 6, pp. 1111–1113, 1993. View at Publisher · View at Google Scholar · View at Scopus
  2. C. Rockman, T. Riles, and R. Landis, “Lower extremity paraparesis or paraplegia subsequent to endovascular management of abdominal aortic aneurysms,” Journal of Vascular Surgery, vol. 33, no. 1, pp. 178–180, 2001. View at Publisher · View at Google Scholar · View at Scopus
  3. A. Bajwa, M. Davis, M. Moawad, and P. R. Taylor, “Paraplegia following elective edovascular repair of abdominal aortic aneurysm: reversal with cerebrospinal fluid drainage,” European Journal of Vascular and Endovascular Surgery, vol. 35, no. 1, pp. 46–48, 2008. View at Publisher · View at Google Scholar · View at Scopus
  4. C. Lioupis, M. Tyrrell, and D. Valenti, “A report of spinal cord ischemia following endovascular aneurysm repair of an aneurysm with a large thrombus burden and complex iliac anatomy,” Vascular and Endovascular Surgery, vol. 44, no. 1, pp. 56–60, 2010. View at Publisher · View at Google Scholar · View at Scopus
  5. P. C. Kwok, T. K. Chung, L. C. Chong et al., “Neurologic injury after endovascular stent-graft and bilateral internal iliac artery embolization for infrarenal abdominal aortic aneurysm,” Journal of Vascular and Interventional Radiology, vol. 12, no. 6, pp. 761–763, 2001. View at Google Scholar · View at Scopus
  6. J. A. Reid, D. J. Mole, L. C. Johnston, and B. Lee, “Delayed paraplegia after endovascular repair of abdominal aortic aneurysm,” Journal of Vascular Surgery, vol. 37, no. 6, pp. 1322–1323, 2003. View at Publisher · View at Google Scholar · View at Scopus
  7. P. Berg, D. Kaufmann, C. J. Marrewijk, and J. Buth, “Spinal cord ischaemia after stent graft treatment for infra-renal abdominal aortic aneurysms,” European Journal of Vascular and Endovascular Surgery, vol. 22, no. 4, pp. 342–347, 2001. View at Publisher · View at Google Scholar · View at Scopus
  8. N. Peppelenbosch, P. W. Cuypers, A. C. Vahl, F. Vermassen, and J. Buth, “Emergency endovascular treatment for ruptured abdominal aortic aneurysm and the risk of spinal cord ischemia,” Journal of Vascular Surgery, vol. 42, no. 4, pp. 608–614, 2005. View at Publisher · View at Google Scholar · View at Scopus
  9. M. J. Bratby, G. M. Munneke, A. M. Belli, T. M. Loosemore, and I. Loftus, “How safe is bilateral Internal Iliac artery embolization prior to EVAR?” CardioVascular and Interventional Radiology, vol. 31, pp. 246–253, 2008. View at Google Scholar
  10. M. Mehta, F. J. Veith, R. C. Darling et al., “Effects of bilateral hypogastric artery interruption during endovascular and open aortoiliac aneurysm repair,” Journal of Vascular Surgery, vol. 40, no. 4, pp. 698–702, 2004. View at Publisher · View at Google Scholar · View at Scopus
  11. K. Minatoya, M. Karck, C. Hagl et al., “The impact of spinal angiography on the neurological outcome after surgery on the descending thoracic and thoracoabdominal aorta,” Annals of Thoracic Surgery, vol. 74, no. 5, pp. S1870–S1872, 2002. View at Publisher · View at Google Scholar · View at Scopus
  12. G. Melissano, L. Bertoglio, V. Civelli et al., “Demonstration of the adamkiewicz artery by multidetector computed tomography angiography analysed with the open-source software osiriX,” European Journal of Vascular and Endovascular Surgery, vol. 37, no. 4, pp. 395–400, 2009. View at Publisher · View at Google Scholar · View at Scopus
  13. S. Kadir, Atlas of Normal andVariant Angiographic Anatomy, W.B. Saunders, Philadelphia, Pa, USA, 1991.
  14. J. C. Hnath, M. Mehta, J. B. Taggert et al., “Strategies to improve spinal cord ischemia in endovascular thoracic aortic repair: outcomes of a prospective cerebrospinal fluid drainage protocol,” Journal of Vascular Surgery, vol. 48, no. 4, pp. 836–840, 2008. View at Publisher · View at Google Scholar · View at Scopus
  15. A. T. Cheung, A. Pochettino, M. L. McGarvey et al., “Strategies to manage paraplegia risk after endovascular stent repair of descending thoracic aortic aneurysms,” Annals of Thoracic Surgery, vol. 80, no. 4, pp. 1280–1289, 2005. View at Publisher · View at Google Scholar · View at Scopus
  16. M. M. Wynn, M. W. Mell, G. Tefera, J. R. Hoch, and C. W. Acher, “Complications of spinal fluid drainage in thoracoabdominal aortic aneurysm repair: a report of 486 patients treated from 1987 to 2008,” Journal of Vascular Surgery, vol. 49, no. 1, pp. 29–35, 2009. View at Publisher · View at Google Scholar · View at Scopus