Acute Type B Aortic Dissection Complicated With Spinal Cord Ischemia and Paraplegia Treated With Endovascular Scissor Technique.

IF 0.7 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Vascular and Endovascular Surgery Pub Date : 2024-02-01 Epub Date: 2023-08-28 DOI:10.1177/15385744231198715

Alexandra Catasta, Antonio Freyrie, Alberto Bramucci, Claudio Bianchini Massoni, Paolo Perini

引用次数: 0

Abstract

Spinal cord ischemia leading to paraplegia is a rare, life-limiting complication of acute type B aortic dissection. We report a case of spinal cord ischemia occurred in a young woman treated with endovascular scissor technique in urgent setting. The patient had an uneventful post-procedural course. After 4 months, computed tomography angiography confirmed false lumen reperfusion and major symptoms were regressed. In selected cases, this procedure is a tool to improve false lumen perfusion in type B dissections, and demonstrated to be helpful in our case of spinal cord ischaemia.

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用血管内剪刀技术治疗急性 B 型主动脉夹层并发脊髓缺血和截瘫。

脊髓缺血导致截瘫是急性 B 型主动脉夹层的一种罕见并危及生命的并发症。我们报告了一例在紧急情况下使用血管内剪刀技术治疗的年轻女性脊髓缺血病例。患者术后恢复顺利。4 个月后，计算机断层扫描血管造影证实了假腔再灌注，主要症状也得到缓解。在选定的病例中，这种手术是改善B型血管断裂假腔灌注的一种工具，在我们的脊髓缺血病例中也得到了证实。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular and Endovascular Surgery SURGERY-PERIPHERAL VASCULAR DISEASE

CiteScore

1.70

自引率

11.10%

发文量

132

审稿时长

4-8 weeks

期刊介绍： Vascular and Endovascular Surgery (VES) is a peer-reviewed journal that publishes information to guide vascular specialists in endovascular, surgical, and medical treatment of vascular disease. VES contains original scientific articles on vascular intervention, including new endovascular therapies for peripheral artery, aneurysm, carotid, and venous conditions. This journal is a member of the Committee on Publication Ethics (COPE).