Spinal Cord Ischemia Following Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm

被引：4

作者：

Nakai, Shingo ^{[1
]}

Uchida, Tetsuro ^{[1
]}

Kuroda, Yoshinori ^{[1
]}

Yamashita, Atsushi ^{[1
]}

Oba, Eiichi ^{[1
]}

Kobayashi, Kimihiro ^{[1
]}

Ochiai, Tomonori ^{[1
]}

Sadahiro, Mitsuaki ^{[1
]}

机构：

[1] Yamagata Univ, Dept Surg 2, Fac Med, 2-2-2 Iida Nishi, Yamagata, Yamagata 9909585, Japan

来源：

ANNALS OF VASCULAR DISEASES | 2020年 / 13卷 / 03期

关键词：

spinal cord ischemia; paraplegia; EVAR; ADAMKIEWICZ ARTERY; PARAPLEGIA;

D O I：

10.3400/avd.cr.20-00061

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Spinal cord injury (SCI) following endovascular aortic repair (EVAR) for an abdominal aortic aneurysm (AAA) is a rare but serious complication. Case 1 presented with ruptured AAA and shock and underwent emergency EVAR. The patient developed incomplete paraplegia 2 days following EVAR. Case 2, diagnosed with impending rupture of AAA with extremely shaggy aorta, was treated with emergency EVAR. The patient was diagnosed with complete paraplegia soon after EVAR. Case 3 underwent elective EVAR and developed delayed paraplegia 2 weeks later. In EVAR, the etiology of SCI leading to paraplegia is often multifactorial. Surgeons must consider the possibility of SCI-induced paraplegia.

引用

页码：335 / 338

页数：4

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