Hypogastric artery thrombectomy for spinal cord ischemia following fenestrated endovascular aortic repair br

被引:0
作者
Mehta, Veena [1 ,3 ]
Wooster, Mathew [2 ]
机构
[1] Harbor UCLA Med Ctr, Dept Surg, Div Vasc Surg, Torrance, CA USA
[2] Med Univ South Carolina, Coll Med, Dept Surg, Div Vasc Surg, Charleston, SC USA
[3] Harbor UCLA Med Ctr, Dept Surg, Div Vasc Surg, 1000 Carson St, Torrance, CA 90502 USA
来源
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2022年 / 8卷 / 03期
关键词
Aortic aneurysm; Fenestrated endovascular aortic repair; Hypogastric artery occlusion; Spinal cord ischemia; Thrombectomy; EMBOLIZATION; INTERRUPTION; ADAMKIEWICZ; ANGIOGRAPHY;
D O I
10.1016/j.jvscit.2022.05.011
中图分类号
R61 [外科手术学];
学科分类号
摘要
Spinal cord ischemia can be a devastating complication after thoracoabdominal aortic surgery. We report a case of a 56 -year-old woman who had undergone multiple prior thoracic aneurysm repairs with an increase of a visceral segment aneurysm to 6 cm. The aneurysm was repaired using a physician-modified four-vessel fenestrated graft and iliac branch device. Postoperatively, she developed weakness in her right leg. Computed tomography angiography showed an occluded right hypogastric artery. We proceeded with aspiration thrombectomy with complete resolution of her right leg weakness within hours postoperatively. Our findings have illustrated the important role of hypogastric arteries in the development of spinal cord ischemia. (J Vasc Surg Cases Innov Tech 2022;8:413-6.)
引用
收藏
页码:413 / 416
页数:4
相关论文
共 19 条
  • [1] Fenestrated Endovascular Grafting: The French Multicentre Experience
    Amiot, S.
    Haulon, S.
    Becquemin, J. -P.
    Magnan, P. -E.
    Lermusiaux, P.
    Goueffic, Y.
    Jean-Baptiste, E.
    Cochennec, F.
    Favre, J. -P.
    [J]. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2010, 39 (05) : 537 - 544
  • [2] Systematic Review and Meta-analysis of the Effect of Internal Iliac Artery Exclusion for Patients Undergoing EVAR
    Bosanquet, D. C.
    Wilcox, C.
    Whitehurst, L.
    Cox, A.
    Williams, I. M.
    Twine, C. P.
    [J]. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2017, 53 (04) : 534 - 548
  • [3] Physician modification of Gore C3 excluder endograft for treatment of abdominal aortic aneurysms anatomically unsuitable for conventional endovascular repair
    Coulter, Amy H.
    Tan, Tze-Woei
    Zhang, Wayne W.
    [J]. JOURNAL OF VASCULAR SURGERY, 2014, 59 (06) : 1739 - 1743
  • [4] Symptomatic spinal cord malperfusion after stent-graft coverage of the entire descending aorta
    Gottardi, Roman
    Dumfarth, Julia
    Holfeld, Johannes
    Schoder, Maria
    Funovics, Martin
    Laufer, Guenther
    Grimm, Michael
    Czerny, Martin
    [J]. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2010, 37 (05) : 1081 - 1085
  • [5] Usefulness of preoperative detection of artery of Adamkiewitcz with dynamic contrast-enhanced MR angiography
    Hyodoh, H
    Kawaharada, N
    Akiba, H
    Tamakawa, M
    Hyodoh, K
    Fukada, J
    Morishita, K
    Hareyama, M
    [J]. RADIOLOGY, 2005, 236 (03) : 1004 - 1009
  • [6] Elective Fenestrated and Branched Endovascular Thoraco-abdominal Aortic Repair with Supracoeliac Sealing Zones and without Prophylactic Cerebrospinal Fluid Drainage: Early and Medium-term Outcomes
    Juszczak, Maciej T.
    Murray, Anna
    Koutsoumpelis, Andreas
    Vezzosi, Massimo
    Mascara, Jorge
    Claridge, Martin
    Adam, Donald J.
    [J]. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2019, 57 (05) : 639 - 648
  • [7] Spinal Cord Ischemia after Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm: A Rare Complication
    Kouvelos, George N.
    Papa, Nektario
    Nassis, Christos
    Xiropotamos, Nikolaos
    Papadopoulos, George
    Matsagkas, Miltiadis I.
    [J]. CASE REPORTS IN MEDICINE, 2011, 2011
  • [8] Unilateral lower extremity paralysis after coil embolization of an internal iliac artery aneurysm
    Kritpracha, B
    Comerota, AJ
    [J]. JOURNAL OF VASCULAR SURGERY, 2004, 40 (04) : 819 - 821
  • [9] Effects of bilateral hypogastric artery interruption during endovascular and open aortoiliac aneurysm repair
    Mehta, M
    Veith, FJ
    Darling, RC
    Roddy, SP
    Ohki, T
    Lipsitz, EC
    Paty, PSK
    Kreienberg, MB
    Ozsvath, KJ
    Chang, BB
    Shah, DM
    [J]. JOURNAL OF VASCULAR SURGERY, 2004, 40 (04) : 698 - 702
  • [10] Mehta M, 2001, J VASC SURG, V33, pS27