Delayed neurologic deficit after endovascular abdominal aortic aneurysm repair Academic Article uri icon

Overview

MeSH Major

  • Aortic Aneurysm, Abdominal
  • Paraparesis
  • Postoperative Complications

abstract

  • Paraplegia or paraparesis secondary to spinal cord ischemia is an extremely rare complication after elective repair of abdominal aortic aneurysm. We report delayed paraparesis after endovascular abdominal aortic aneurysm repair in which one hypogastric artery was unintentionally occluded due to atheroembolism. A spinal catheter was immediately inserted after onset of paraplegia to promote cerebrospinal fluid drainage, which partially reversed the neurologic deficit. Our case underscores both the importance of the critical spinal collateral supply from the hypogastric artery and the role of spinal fluid drainage to maximize spinal cord perfusion in the setting of spinal cord ischemia.

publication date

  • March 2003

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1067/mva.2003.161

PubMed ID

  • 12618714

Additional Document Info

start page

  • 690

end page

  • 2

volume

  • 37

number

  • 3