A Case of Paraplegia Following Endovascular Stent Repair of Descending Thoracic Aortic Aneurysm

Abstract

Paraplegia secondary to spinal cord infarction is a recognized complication of open thoracic and thoracoabdominal aortic aneurysm (TAA) repair. TAA is serious and unpredictable condition. Therefore, aortic repair requires thorough information on managing the potential complications will facilitate improve control the problem. We report the symptoms and management of paraplegia in a patient who underwent stent insertion as TAA.

Early Experience With Automatic Pressure-Controlled Cerebrospinal Fluid Drainage During Thoracic Endovascular Aortic Repair

“…Even if cases of late paraplegia after TEVAR are anecdotally reported in the literature, [20][21][22] 72-hour postoperative CSF pressure monitoring should be sufficient in uneventful cases, since there is an increased risk of infection with prolonged CSFD. 23 In cases with neurological deficit, a 7-day postoperative period should be sufficient to observe if there is any symptom recovery under monitored and optimized SCFD.…”

Delayed Infrarenal Aortic Pseudoaneurysm Treated by Endovascular Stent Graft in Pyogenic Spondylitis

“…An intraoperative approach to a ruptured common iliac artery can be attempted through the popliteal artery under ultrasound guidance with the pateint in the prone position [ 7 ]. A descending thoracic aortic aneurysm of 10 cm in length, which was treated with an endovascular stent graft of 40 mm in diameter and 12 cm in length, caused ischemia at the T6-T12 level, and paraplegia [ 9 ]. Preservation of the artery of Adamkiewicz is important to maintain blood circulation to the spinal cord during stenting in the thoracic region [ 10 ].…”