Delayed paraplegia after endovascular repair of abdominal aortic aneurysm.
Paraplegia is rare after open repair of infrarenal abdominal aortic aneurysm, and only two cases have been reported after endovascular repair, both due to atheroembolism. Incidence of renal failure after endovascular repair of abdominal aortic aneurysm (EVAR) in patients with normal preoperative renal function is about 8.7%, but is much higher in those with preexisting renal impairment, possibly because of administration of nephrotoxic contrast media during EVAR. We report a case in which contrast medium-induced acute renal failure is believed to have led to delayed paraplegia after EVAR.
Reid
Julie A
JA
Vascular and Endovascular Unit, Belfast City Hospital, Belfast, Ireland. julieann.reid@virgin.net
Mole
Damian J
DJ
Johnston
Lynn C
LC
Lee
Bernard
B
D058186:Acute Kidney Injury / Q000139:chemically induced; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D003287:Contrast Media / Q000009:adverse effects; D005260:Female; D006801:Humans; D010264:Paraplegia / Q000209:etiology*; D011183:Postoperative Complications; D015607:Stents / Q000009:adverse effects*; D013997:Time Factors
D003287:Contrast Media