Spinal Cord Ischemia after Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm: A Rare Complication
Author(s) -
George Kouvelos,
Nektario Papa,
Christos Nassis,
Nikolaos Xiropotamos,
George Α. Papadopoulos,
Miltiadis Matsagkas
Publication year - 2011
Publication title -
case reports in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.2
H-Index - 20
eISSN - 1687-9627
pISSN - 1687-9635
DOI - 10.1155/2011/954572
Subject(s) - medicine , complication , surgery , etiology , ischemia , neurological deficit , spinal cord , abdominal aortic aneurysm , aneurysm , anesthesia , cardiology , psychiatry
Neurologic deficit secondary to spinal cord ischemia after elective infrarenal, endovascular aneurysm repair (EVAR), consists a rare and rather disastrous complication. The etiology of such neurologic complication seems to be multifactorial, making this event unpredictable and foremost unpreventable. We report a case of paraparesis and bladder dysfunction that occurred immediately after the EVAR procedure. Prompt management by conservative or invasive methods seems to be important for the reversal of the neurologic deficit and the optimization of patient's outcome.
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