Evaluation of spinal cord ischemia with a retrievable stent graft is useful for determining the type of repair for a case of patch aneurysm

Annals of Vascular Surgery
Junetsu AkasakaKoichi Tabayashi

Abstract

Patch aneurysms after thoracoabdominal aortic aneurysm repair are a serious late complication. We treated a patient with patch aneurysm (originating at the artery of Adamkiewicz) involving a portion of an implanted graft from a previous operation. First, thoracic endovascular aneurysm repair was planned. A retrievable stent graft was inserted, and motor-evoked potentials were monitored to evaluate spinal cord ischemia. Significant changes in the motor-evoked potentials were observed, and permanent stent graft placement was abandoned. Later, open surgery was performed. The patient showed no postoperative paraplegia and was discharged in good condition.

References

Dec 1, 1987·Anesthesia and Analgesia·E GeptsE J Douglas
May 9, 2002·The Annals of Thoracic Surgery·Joseph S CoselliZachary C Schmittling
Apr 6, 2004·The Annals of Thoracic Surgery·Nobuyoshi KawaharadaTomio Abe
Oct 30, 2004·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Junetsu AkasakaKoichi Tabayashi
Apr 14, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M A SchepensW J Morshuis
Jul 22, 2009·The Journal of Thoracic and Cardiovascular Surgery·Alexander KulikNicholas T Kouchoukos

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.