Spinal cord ischemia after endovascular embolization of a type II endoleak following endovascular aneurysm repair
| Autor: | Pavlos Katonis, Dimitrios G. Kardoulas, Dimitrios Tsetis, Asterios N. Katsamouris, Christos V. Ioannou |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Endoleak medicine.medical_treatment Endovascular aneurysm repair Aortography Severity of Illness Index Blood Vessel Prosthesis Implantation Aneurysm Paraparesis medicine.artery medicine Humans cardiovascular diseases Embolization Ultrasonography Doppler Color Device Removal Aged medicine.diagnostic_test business.industry Spinal Cord Ischemia Endovascular Procedures Peripheral Nervous System Diseases Magnetic resonance imaging General Medicine medicine.disease Spinal cord Embolization Therapeutic Abdominal aortic aneurysm Surgery medicine.anatomical_structure Treatment Outcome Angiography Radiology Cardiology and Cardiovascular Medicine business Tomography X-Ray Computed Lumbar arteries Magnetic Resonance Angiography Aortic Aneurysm Abdominal |
| Zdroj: | Annals of vascular surgery. 26(6) |
| ISSN: | 1615-5947 |
| Popis: | Background We report a rare case of severe spinal cord ischemia with neurological consequences in a patient who presented after endovascular treatment of a type II endoleak following endovascular aneurysm repair. Methods and Results An enlarging abdominal aortic aneurysm post-endovascular aneurysm repair was detected owing to a persistent type II endoleak caused by a communication between the iliolumbar and L4 lumbar artery for which the patient underwent supraselective embolization with particles and coils. Immediately after the procedure, the patient experienced an acute onset of neurological symptoms in the right lower limb while limb arterial perfusion remained unaffected. Magnetic resonance imaging-magnetic resonance angiography revealed an acute ischemic process at the L2-L4 level. Further follow-up revealed persistence of the endoleak, and the patient was referred to our institution for open surgical treatment. Conclusions To the best of our knowledge, this is the first report of severe spinal cord ischemia after transcatheter embolization of the feeding iliolumbar branches of a type II endoleak. Care must be taken during embolization of the feeding artery of type II endoleaks, which may also supply the spinal cord, to minimize the risk of possible spinal cord ischemia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|