Quadriplegia and quadriparesis after endovascular aortic procedures: a catastrophic and under-reported complication?
| Autor: | Enrico Cieri, Andrea Kahlberg, Gustavo S. Oderich, Roberto Chiesa, Luigi Baccani, Emanuel R. Tenorio, Germano Melissano, Alessandro Grandi, Fabio Verzini |
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| Přispěvatelé: | Kahlberg, A., Tenorio, E. R., Grandi, A., Oderich, G. S., Verzini, F., Cieri, E., Baccani, L., Melissano, G., Chiesa, R. |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Thoracic Multiple Organ Failure medicine.medical_treatment 030204 cardiovascular system & hematology Quadriplegia Blood Vessel Prosthesis Implantation 03 medical and health sciences Aortic aneurysm Fatal Outcome 0302 clinical medicine Angioplasty Paralysis medicine Humans Aged Paresis medicine.diagnostic_test Spinal Cord Ischemia business.industry Endovascular Procedures Spinal cord ischemia Aortic Aneurysm Thoracic Female Treatment Outcome Magnetic resonance imaging General Medicine medicine.disease Surgery Blood pressure 030228 respiratory system Cardiothoracic surgery medicine.symptom Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | The Journal of Cardiovascular Surgery. 61 |
| ISSN: | 1827-191X 0021-9509 |
| Popis: | PURPOSE: to report three cases of spinal cord ischemia (SCI) involving the cervical- dorsal level and leading to quadriplegia and quadriparesis, following thoraco-abdominal aortic aneurysm (TAAA) endovascular repair. CASE REPORTS: A 79-year-old woman with an extent III TAAA was scheduled for a multi-step fenestrated/branched endovascular aortic repair. Immediately after the first step, consisting of standard proximal thoracic stent-graft implantation, she developed quadriplegia that did not resolve despite all therapeutic actions, and died as a consequence on postoperative day 32. A 72-year old male with an extent IV TAAA underwent endovascular repair, using a customized fenestrated aortic stent-graft. Five hours after the procedure, he developed an asymmetric quadriparesis, that progressively resolved after spinal fluid drainage and arterial pressure increase, even if signs of SCI were documented at magnetic resonance imaging (MRI). A 79-year old man, referred for a type II TAAA with rapid enlargement, underwent a one-stage endovascular repair, using a customized branched aortic stent-graft. As soon as the procedure was completed, the patient presented inferior limbs paralysis and upper limbs paresis. Although no signs of SCI were documented at MRI, the patient did not recover and died as a consequence three months after the procedure. CONCLUSIONS: Although rare, cervical-dorsal SCI may develop during TAAA endovascular aortic repair. This possibly catastrophic event should be considered in the decisional process of TAAA repair and taken into account to allow prompt recognition and treatment. |
| Databáze: | OpenAIRE |
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