Impact of intercostal artery occlusion on spinal cord ischemia following thoracic endovascular aortic repair.
Publication/Presentation Date
8-1-2011
Abstract
OBJECTIVE: To evaluate intercostal artery patency following thoracic endovascular aortic repair (TEVAR) and its relationship with spinal cord ischemia (SCI).
METHODS: Patients with SCI (n = 7) and a matched control cohort (n = 18) were identified from a prospectively maintained database. Radiographic analysis of intercostal patency was assessed using 3-dimensional (3-D)-reconstructed images of pre- and postoperative CT angiograms (1-6 months, 6-12 months, and 1-5 years).
RESULTS: Patients with SCI had a higher incidence of perioperative hypotension (P < .01) and longer procedure duration (P = .01). While the mean number of patent intercostal arteries at each time interval was not significantly different between groups, both SCI (P = .002) and control (P
CONCLUSION: TEVAR decreases intercostal artery patency in the area of aortic coverage. Our data suggest that intercostal artery patency, in conjunction with perioperative hypotension, is an important contributor to postoperative SCI.
Volume
45
Issue
6
First Page
519
Last Page
523
ISSN
1938-9116
Published In/Presented At
Ullery, B. W., Quatromoni, J., Jackson, B. M., Woo, E. Y., Fairman, R. M., Desai, N. D., Bavaria, J. E., & Wang, G. J. (2011). Impact of intercostal artery occlusion on spinal cord ischemia following thoracic endovascular aortic repair. Vascular and endovascular surgery, 45(6), 519–523. https://doi.org/10.1177/1538574411408742
Disciplines
Medicine and Health Sciences
PubMedID
21576208
Department(s)
Department of Medicine, Cardiology Division
Document Type
Article