scholarly journals PC072. Impact of Functional Recovery and Prediction of Spinal Cord Ischemia After Thoracic Endovascular Aortic Repair in the Vascular Quality Initiative

2016 ◽  
Vol 63 (6) ◽  
pp. 174S-175S
Author(s):  
Liza Flory P. Laquian ◽  
Salvatore Scali ◽  
Robert Feezor ◽  
Javairiah Fatima ◽  
Kristina A. Giles ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Functional Recovery ◽  
Spinal Cord Ischemia ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Aortic Repair

Hypogastric Artery Stenting for Chronic Intermittent Spinal Cord Ischemia After Thoracic Endovascular Aortic Repair

2020 ◽  
Vol 27 (5) ◽  
pp. 801-804
Author(s):  
Catharina Gronert ◽  
Nikolaos Tsilimparis ◽  
Giuseppe Panuccio ◽  
Ahmed Eleshra ◽  
Fiona Rohlffs ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Ischemia ◽  
Thoracic Endovascular Aortic Repair ◽  
Neurological Symptoms ◽  
Endovascular Aortic Repair ◽  
Hypogastric Artery ◽  
Lower Extremity Weakness ◽  
Aortic Repair ◽  
The Right

Purpose: To report a case of chronic intermittent spinal cord ischemia (SCI) after thoracic endovascular aortic repair (TEVAR) and its successful treatment using hypogastric artery stenting. Case Report: A 79-year-old patient presented in May 2013 with a thoracic aortic aneurysm (TAA) and a contained rupture. He urgently underwent TEVAR that covered 274 mm of descending thoracic aorta without immediate postoperative signs of acute SCI. At 3-month follow-up, he reported repeating incidents of sudden lower extremity weakness leading to a fall with a humerus fracture. A neurological consultation revealed the tentative diagnosis of intermittent SCI caused by TEVAR and initially recommended a conservative approach. During the following year there was no clinical improvement of the symptoms. Computed tomography angiography showed a high-grade stenosis of the right hypogastric artery, which was stented in November 2014 to improve the collateral network of spinal cord perfusion. Following treatment, the patient had no further neurological symptoms; at 32 months after the reintervention, the imaging follow-up documented a patent stent and continued exclusion of the TAA. Conclusion: Intermittent neurological symptoms after TEVAR should be suspected as chronic intermittent SCI. The improvement of collateral networks of the spinal cord by revascularization of the hypogastric artery is a viable treatment option.

scholarly journals National Incidence, Mortality Outcomes, and Predictors of Spinal Cord Ischemia After Thoracic Endovascular Aortic Repair

2019 ◽  
Vol 69 (1) ◽  
pp. e15-e16 ◽  
Author(s):  
Salvatore T. Scali ◽  
Kristina A. Giles ◽  
Grace J. Wang ◽  
Thomas S. Huber ◽  
Gilbert R. Upchurch ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Ischemia ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Aortic Repair

scholarly journals Risk of spinal cord ischemia after thoracic endovascular aortic repair

2018 ◽  
Vol 10 (11) ◽  
pp. 6088-6096 ◽  
Author(s):  
Ling Xue ◽  
Songyuan Luo ◽  
Huanyu Ding ◽  
Yi Zhu ◽  
Yuan Liu ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Ischemia ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Aortic Repair

National incidence, mortality outcomes, and predictors of spinal cord ischemia after thoracic endovascular aortic repair

2020 ◽  
Vol 72 (1) ◽  
pp. 92-104 ◽  
Author(s):  
Salvatore T. Scali ◽  
Kristina A. Giles ◽  
Grace J. Wang ◽  
Paul Kubilis ◽  
Dan Neal ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Ischemia ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Aortic Repair
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