Spinal cord ischemia after elective endovascular abdominal aortic aneurysm repair in a patient with multiple occlusions of the intercostal and internal iliac arteries

被引：2

作者：

Koda, Yojiro ^{[1
]}

Yamanaka, Katsuhiro ^{[1
]}

Omura, Atsushi ^{[1
]}

Gentsu, Tomoyuki ^{[2
]}

Yamaguchi, Masato ^{[2
]}

Okada, Kenji ^{[1
,3
]}

机构：

[1] Kobe Univ Hosp, Dept Surg, Div Cardiovasc Surg, Kobe, Japan

[2] Kobe Univ Hosp, Dept Radiol, Kobe, Japan

[3] Kobe Univ, Dept Surg, Div Cardiovasc Surg, Cardiovasc Surg,Grad Sch Med, 7-5-2 chuo ku Kusunoki cho, Kobe, Hyogo 6500017, Japan

来源：

JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2022年 / 8卷 / 03期

关键词：

Endovascular abdominal aortic aneurysm repair; Spinal cord ischemia; Monoplegia; Spinal cord circulation; CEREBROSPINAL-FLUID DRAINAGE; PROTECTION; INJURY;

D O I：

10.1016/j.jvscit.2022.06.007

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Spinal cord ischemia (SCI) after endovascular abdominal aortic aneurysm repair is a rare but devastating complication. Occlusion of the artery of Adamkiewicz or feeders to the collateral network for spinal cord circulation (such as the subclavian, intercostal, lumbar, and internal iliac arteries) is associated with the onset of SCI. We present a case of monoplegia owing to SCI after elective endovascular abdominal aortic aneurysm repair with coil embolization of the left internal iliac artery in an elderly patient with a history of arteriosclerosis obliterans and aortic dissection, preoperatively occluding multiple intercostal arteries and the right internal iliac artery. (J Vasc Surg Cases Innov Tech 2022;8:447-9.)

引用

页码：447 / 449

页数：3

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