开窗动脉内修复术治疗肾下主动脉瘤后脊髓缺血:一例罕见并发症及成功治疗报告

EJVES Extra Pub Date : 2013-08-01 DOI:10.1016/j.ejvsextra.2013.04.003

D. Misselhorn , T. Beresford , A. Laing , A. Khanafer

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引用次数: 1

摘要

摘要脊髓缺血(SCI)是肾下动脉瘤修复术中一种罕见的并发症。我们报告一例68岁男性肾下主动脉瘤采用开窗血管内动脉瘤修复术(FEVAR)治疗。脑脊液(CSF)引流缓解了截瘫，并通过无意闭塞的髂内动脉(IIA)的血运重建得以缓解。讨论了主动脉修复后脊髓损伤的发生率和病因，重点讨论了侧枝血流。脊髓损伤在FEVAR中很少见，不需要常规脑脊液监测，但需要意识。迅速恢复充足的脊髓灌注是可治愈的。

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Spinal Cord Ischaemia Following Fenestrated Endovascular Aortic Repair for Infrarenal Aortic Aneurysm: Report of a Rare Complication and Its Successful Treatment

Introduction

Spinal cord ischaemia (SCI) is a rare complication of infrarenal aortic aneurysm repair.

Report

We present a case of a 68-year-old man with an infrarenal aortic aneurysm treated by fenestrated endovascular aneurysm repair (FEVAR). He developed paraplegia alleviated by cerebrospinal fluid (CSF) drainage and resolved by revascularization of the inadvertently occluded internal iliac artery (IIA).

Discussion

The incidence and aetiology of SCI following aortic repair are discussed with an emphasis on collateral flow. SCI is rare in FEVAR and does not require routine CSF monitoring but awareness. Prompt restoration of adequate spinal perfusion is curative.

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EJVES Extra

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