Reversal of delayed-onset paraparesis after revision thoracic endovascular aortic repair for ruptured thoracic aortic aneurysm.
Publication/Presentation Date
8-1-2011
Abstract
Thoracic endovascular aortic repair (TEVAR) is an important surgical option for the emergency treatment of ruptured thoracic aortic aneurysms, but is associated with a risk of spinal cord ischemia (SCI). Although risk factors for the development of SCI have been well described, the effectiveness of treatment to increase spinal cord perfusion pressure remains incompletely understood. We report the successful treatment of delayed-onset paraparesis after revision TEVAR for acute descending thoracic aortic rupture with the combined use of blood pressure augmentation and cerebrospinal fluid drainage. The clinical manifestations, pathophysiology, and management of SCI after TEVAR are reviewed.
Volume
25
Issue
6
First Page
19
Last Page
23
ISSN
1615-5947
Published In/Presented At
Ullery, B. W., Cheung, A. T., McGarvey, M. L., Jackson, B. M., & Wang, G. J. (2011). Reversal of delayed-onset paraparesis after revision thoracic endovascular aortic repair for ruptured thoracic aortic aneurysm. Annals of vascular surgery, 25(6), 840.e19–840.e8.4E23. https://doi.org/10.1016/j.avsg.2010.12.043
Disciplines
Medicine and Health Sciences
PubMedID
21621971
Department(s)
Department of Medicine, Cardiology Division
Document Type
Article