Spinal Subdural Hematoma owing to the Removal of Cerebrospinal Fluid Drainage Tube During Thoracic Endovascular Aortic Repair

Mitsuoka, Hiroki; Orimoto, Yuki; Hagihara, Makiyo; Suzuki, Kôjiro; Arima, Takahiro; Isaji, Taiki; Takayasu, Misako; Ishibashi, Hiroyuki

doi:10.1016/j.wneu.2020.04.131

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…Hence, the findings from the present case suggest the need for mandatory and meticulous MRI to diagnose this condition quickly and accurately. Mitsuoka et al 4 also recommended the immediate use of spinal MRI for patients with back pain, paraparesis, paraplegia, bladder disturbance, or anal sphincter weakness after CSFD tube removal. Our patient had presented with urinary retention, back pain, and lower extremity paralysis.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, only four cases of subdural hematoma development at the puncture site following CSFD have been reported. [3][4][5][6] The patients presented with symptoms that included lower back pain, lower extremity paresis, or paraplegia within 2 days of CSFD tube removal. Our patient developed lower back pain and progressive lower limb weakness 7 days after drainage tube removal, suggesting that the spinal subdural vascular damage occurred at the J o u r n a l P r e -p r o o f 7 time of tube removal.…”

Section: Case Reportmentioning

confidence: 99%

See 1 more Smart Citation

Late-onset spinal subdural hematoma following cerebrospinal fluid drainage tube removal

Hattori

Tsuda

Nakajima

et al. 2022

Journal of Vascular Surgery Cases, Innovations and Techniques

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Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Late-onset spinal subdural hematoma following cerebrospinal fluid drainage tube removal

Hattori

Tsuda

Nakajima

et al. 2022

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

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Aggressive use of prophylactic cerebrospinal fluid drainage to prevent spinal cord ischemia during thoracic endovascular aortic repair is not supportive

Seike

Fukuda

Yokawa

et al. 2022

European Journal of Cardio-Thoracic Surgery

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Objective We investigated whether prophylactic preoperative cerebrospinal fluid drainage was effective in preventing spinal cord ischaemia during thoracic endovascular aortic repair for degenerative descending thoracic aortic aneurysm, excluding dissecting aneurysms. Methods We retrospectively reviewed medical records of the patients who underwent thoracic endovascular aortic repair with proximal landing zones 3 and 4 for between 2009 and 2020. Results Eighty-nine patients with preemptive cerebrospinal fluid drainage (68 men; median [range] age, 76.0 [71.0–81.0] years) and 115 patients without cerebrospinal fluid drainage (89 men; median [range] age, 77.0 [74.0–81.5] years) were included in this study. Among them, 59 from each group were matched based on propensity scores to regulate for differences in backgrounds. The incidence rate of spinal cord ischaemia was similar: 8/89 (9.0%) in the cerebrospinal fluid drainage group and 6/115 (5.2%) in the non-cerebrospinal fluid drainage group (p = 0.403). Shaggy aorta (odds ratio, 5.13; p = 0.004) and iliac artery access (odds ratio, 5.04; p = 0.005) were identified as positive predictors of spinal cord ischaemia. Other clinically important confounders included Adamkiewicz artery coverage (odds ratio, 2.53; p = 0.108) and extensive stent graft coverage (>8 vertebrae) (odds ratio, 1.41; p = 0.541) were not statistically significant. Propensity scores matching yielded similar incidence of spinal cord ischaemia: 4/59 (6.8%) in the cerebrospinal fluid drainage group and 3/59 (5.1%) in the non-cerebrospinal fluid drainage group (p = 0.697). Conclusions Aggressive use of prophylactic cerebrospinal fluid drainage was not supportive in patients without complex risks of spinal cord ischaemia.

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Spinal Subdural Hematoma owing to the Removal of Cerebrospinal Fluid Drainage Tube During Thoracic Endovascular Aortic Repair

Cited by 2 publications

References 26 publications

Late-onset spinal subdural hematoma following cerebrospinal fluid drainage tube removal

Late-onset spinal subdural hematoma following cerebrospinal fluid drainage tube removal

Aggressive use of prophylactic cerebrospinal fluid drainage to prevent spinal cord ischemia during thoracic endovascular aortic repair is not supportive

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