Evaluation of spinal cord ischemia with a retrievable stent graft is useful for determining the type of repair for a case of patch aneurysm.

Abstract

Patch aneurysms after thoracoabdominal aortic aneurysm repair are a serious late complication. We treated a patient with patch aneurysm (originating at the artery of Adamkiewicz) involving a portion of an implanted graft from a previous operation. First, thoracic endovascular aneurysm repair was planned. A retrievable stent graft was inserted, and motor-evoked potentials were monitored to evaluate spinal cord ischemia. Significant changes in the motor-evoked potentials were observed, and permanent stent graft placement was abandoned. Later, open surgery was performed. The patient showed no postoperative paraplegia and was discharged in good condition.

• Authors: Junetsu Akasaka, Kei Takase, Koichi Tabayashi
• Journal: Annals of vascular surgery (Ann Vasc Surg) Vol. 28 Issue 5 Pg. 1313.e1-3 (Jul 2014) ISSN: 1615-5947 [Electronic] Netherlands
• PMID: 24333526 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2014 Elsevier Inc. All rights reserved.

Topics

• Angiography, Digital Subtraction
• Aortic Aneurysm, Thoracic (diagnosis, surgery)
• Evoked Potentials, Motor
• Humans
• Imaging, Three-Dimensional
• Male
• Middle Aged
• Prosthesis Failure
• Spinal Cord Ischemia (diagnosis, etiology)
• Stents
• Tomography, X-Ray Computed
• Vascular Surgical Procedures (adverse effects)