A direct aorta to segmental artery bypass for prevention of spinal cord ischemia after endovascular aortic repair

被引：0

作者：

Kim, Kevin T. ^{[1
]}

Wang, Ting I. ^{[1
]}

Conway, R. Gregory ^{[2
]}

Toursavadkohi, Shahab ^{[2
]}

Cherian, Jacob ^{[1
]}

机构：

[1] Univ Maryland, Sch Med, Dept Neurosurg, 22 S Greene St, Ste S-12-D, Baltimore, MD 21201 USA

[2] Univ Maryland, Sch Med, Dept Surg, Div Vasc Surg, Baltimore, MD 21201 USA

来源：

JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2024年 / 10卷 / 03期

关键词：

Aortic aneurysm repair; Bypass technique; Segmental artery; Spinal cord ischemia; ANEURYSM REPAIR; REDUCES PARAPLEGIA;

D O I：

10.1016/j.jvscit.2024.101446

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Spinal cord ischemia remains a persistent challenge after endovascular aortic aneurysm repair. We present a novel direct aorta to segmental artery bypass before aneurysm repair in a 64 -year -old woman presenting with an enlarging aneurysm following dissection. Through an eighth intercostal incision, a polyester graft was sewn into the aorta using pledgeted sutures. An entry needle was used to directly access the previously treated aortic segment, and the opening was stented and angioplasty was performed to create in fl ow. Anastomoses were performed to a prominent left T10 segmental artery with a harvested saphenous vein. The patient remained neurologically intact postoperatively and the 1-month follow-up angiography demonstrated bypass patency. (J Vasc Surg Cases Innov Tech 2024;10:101446.)

引用

页数：5

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