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

Junetsu Akasaka, Kei Takase, Koichi Tabayashi

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)1313.e1-1313.e3
JournalAnnals of Vascular Surgery
Volume28
Issue number5
DOIs
Publication statusPublished - 2014 Jul

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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