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Reversal of Delayed-Onset Paraparesis After Revision Thoracic Endovascular Aortic Repair For Ruptured Thoracic Aortic Aneurysm ANNALS OF VASCULAR SURGERY Ullery, B. W., Cheung, A. T., McGarvey, M. L., Jackson, B. M., Wang, G. J. 2011; 25 (6)

Abstract

Thoracic endovascular aortic repair (TEVAR) is an important surgical option for the emergency treatment of ruptured thoracic aortic aneurysms, but is associated with a risk of spinal cord ischemia (SCI). Although risk factors for the development of SCI have been well described, the effectiveness of treatment to increase spinal cord perfusion pressure remains incompletely understood. We report the successful treatment of delayed-onset paraparesis after revision TEVAR for acute descending thoracic aortic rupture with the combined use of blood pressure augmentation and cerebrospinal fluid drainage. The clinical manifestations, pathophysiology, and management of SCI after TEVAR are reviewed.

View details for DOI 10.1016/j.avsg.2010.12.043

View details for Web of Science ID 000293269500028

View details for PubMedID 21621971