title: Delayed onset of ascending paralysis after thoracic aortic stent graft deployment.
abstract: Delayed spinal cord ischemia after thoracic aortic aneurysm repair is an infrequent but devastating complication. The use of stent grafts to exclude aortic aneurysms is thought to decrease the incidence of the neurologic deficit because there is no period of significant aortic occlusion. We report a case of paraplegia that progressed to quadriplegia occurring 48 hours after the apparently successful deployment of a thoracic aortic stent graft.
authors.affiliation: Departments of Vascular Surgery and Intervention Radiology, The Cleveland Clinic Foundation, OH 44195, USA.
authors.forename: K
authors.initials: K
authors.lastname: Kasirajan
authors.forename: B
authors.initials: B
authors.lastname: Dolmatch
authors.forename: K
authors.initials: K
authors.lastname: Ouriel
authors.forename: D
authors.initials: D
authors.lastname: Clair
mesh_terms: D000368:Aged; D000792:Angiography; D017130:Angioplasty / Q000009:adverse effects* / Q000379:methods; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D010264:Paraplegia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D011782:Quadriplegia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D012307:Risk Factors; D013116:Spinal Cord / Q000098:blood supply*; D015607:Stents / Q000009:adverse effects*; D013997:Time Factors; D014057:Tomography, X-Ray Computed