Endovascular treatment of an aortic saddle embolism resulting in full neurologic recovery.
Aortic saddle embolism (ASE) and aortic saddle thrombosis are rare and occasionally associated with spinal ischemia and paraplegia. Patients have traditionally been treated with transfemoral balloon thromboembolectomy. In the following case report, we present a patient with suspected ASE and paraplegia, who was successfully treated by an endovascular approach using covered stents. Following intervention, the patient regained full neurologic function. To our knowledge, it is the first time that this type of endovascular treatment for ASE has been applied successfully.
Division of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, FL.
Jane Kim
JK
Yang
Division of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, FL.
Alexander
A
Nguyen
Division of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, FL.
Hilene
H
De Amorim
Division of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, FL.
Lee Joshua
LJ
Goldstein
Division of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, FL. Electronic address: abornak@med.miami.edu.
Arash
A
Bornak
D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D020127:Recovery of Function; D020760:Spinal Cord Ischemia / Q000209:etiology / Q000503:physiopathology*