Delayed neurologic deficit after endovascular abdominal aortic aneurysm repair.
Paraplegia or paraparesis secondary to spinal cord ischemia is an extremely rare complication after elective repair of abdominal aortic aneurysm. We report delayed paraparesis after endovascular abdominal aortic aneurysm repair in which one hypogastric artery was unintentionally occluded due to atheroembolism. A spinal catheter was immediately inserted after onset of paraplegia to promote cerebrospinal fluid drainage, which partially reversed the neurologic deficit. Our case underscores both the importance of the critical spinal collateral supply from the hypogastric artery and the role of spinal fluid drainage to maximize spinal cord perfusion in the setting of spinal cord ischemia.
Bhama
Jay K
JK
Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, 2002 Holcomb Boulevard, Houston, TX 77030, USA.
Lin
Peter H
PH
Voloyiannis
Theodoros
T
Bush
Ruth L
RL
Lumsden
Alan B
AB
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004617:Embolism / Q000209:etiology; D006801:Humans; D007083:Iliac Artery; D008297:Male; D020335:Paraparesis / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications; D020760:Spinal Cord Ischemia / Q000209:etiology / Q000628:therapy; D015607:Stents