急性腹主动脉闭塞伴有一过性截瘫

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-09-19 DOI:10.1016/j.jvscit.2024.101637

Florent Porez MD, Antoine Gaudin MD, Dominique Fabre MD, PhD, Alessandro Costanzo MD, Lucas Le Guillou MD, Stéphan Haulon MD, PhD

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引用次数: 0

摘要

我们描述了一例罕见的腹主动脉急性闭塞病例，患者因脊髓缺血而出现迅速发展的弛缓性截瘫，我们的治疗方案使患者完全康复。一名 70 岁的男子因无痛性下肢感觉和运动功能丧失而转诊至我科。我们使用有盖支架进行了血管内再通术。患者在术后4天出院，神经症状完全恢复。快速进行主动脉血管内再通术以恢复骨盆和下肢的血流，与脊髓缺血协议相关联，是完全康复的关键。

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Acute abdominal aortic occlusion associated with transient paraplegia

We describe a rare case of acute occlusion of the abdominal aorta presenting as a rapidly evolving flaccid paraplegia owing to spinal cord ischemia and our management protocol that allowed complete recovery of the patient. A 70-year-old man who was referred to our department with painless lower limb loss of sensory and motor function. Endovascular recanalization was performed using a covered stent. The patient was discharged 4 days after the procedure with full recovery of neurological symptoms. Rapid aortic endovascular revascularization to restore flow to the pelvis and lower limbs, associated with spinal cord ischemia protocols, is critical for full recovery.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.