Journal of Vascular Surgery
Volume 47, Issue 3 , Pages 625-628 , March 2008

Delayed paraplegia 10 months after endovascular repair of thoracic aortic aneurysm

  • Jae-Sung Cho, MD

      Affiliations

    • Corresponding Author InformationReprint requests: Jae-Sung Cho, MD, Associate Professor of Surgery, University of Pittsburgh School of Medicine, Division of Vascular Surgery, 200 Lothrop St, Pittsburgh, PA 15241.
    • ,
  • Robert Y. Rhee, MD
    • ,
  • Michel S. Makaroun, MD

Received 30 May 2007 ,Accepted 12 September 2007.

References 

  1. Cho JS, Haider S, Makaroun MS. US multi-center trials of endoprostheses for the endovascular treatment of descending thoracic aneurysms. J Vasc Surg. 2006;43(suppl A):12A–19A
  2. Griepp RB, Griepp EB. Spinal cord perfusion and protection during descending thoracic and thoracoabdominal aortic surgery: the collateral network concept. Ann Thorac Surg. 2007;83:S865–S869
  3. Cambria RP, Davison JK, Zannetti S, L’Italien G, Atamian S. Thoracoabdominal aneurysm repair: perspectives over a decade with the clamp-and-sew technique. Ann Surg. 1997;226:294–303
  4. Cheung AT, Weiss SJ, McGarvey ML, Stecker MM, Hogan MS, Escherich A, et al. Interventions for reversing delayed-onset postoperative paraplegia after thoracic aortic reconstruction. Ann Thorac Surg. 2002;74:413–419
  5. Chiesa R, Melissano G, Marrocco-Trischitta MM, Civilini E, Setacci F. Spinal cord ischemia after elective stent-graft repair of the thoracic aorta. J Vasc Surg. 2005;42:11–17
  6. Cina CS, Lagana A, Bruin G, Ricci C, Doobay B, Tittley J, et al. Throacoabdominal aortic aneurysm repair: A prospective cohort study of 121 cases. Ann Vasc Surg. 2002;16:631–638
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  11. Go MR, Cho JS, Makaroun MS. Late results of a multicenter study of TEVAR vs. open repair. Perspect Vasc Surg Endovasc Ther. 2007;19:124–130
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  13. Coselli JS, LeMaire SA, Koksoy C, Schmittling ZC, Curling PE. Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: Results of a randomized clinical trial. J Vasc Surg. 2002;35:631–639
  14. Safi HJ. Role of the BioMedicus pump and distal aortic perfusion in thoracoabdominal aortic aneurysm repair. Artificial Organs. 1996;20:694–699
  15. Safi HJ, Campbell MP, Miller CC, Iliopoulos DC, Khoynezhad A, Letsou GV, et al. Cerebral spinal fluid drainage and distal aortic perfusion decrease the incidence of neurological deficit: the results of 343 descending and thoracoabdominal aortic aneurysm repairs. Eur J Vasc Endovasc Surg. 1997;14:118–124
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  19. Gravereaux EC, Faries PL, Burks JA, Latessa V, Spielvogel D, Hollier LH, et al. Risk of spinal cord ischemia after endograft repair of thoracic aortic aneurysms. J Vasc Surg. 2001;34:997–1003
  20. Khoynezhad A, Donayre CE, Bui H, Kopchok GE, Walot I, White RA. Risk factors of neurologic deficit after thoracic aortic endografting. Ann Thorac Surg. 2007;83:S882–S889
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  22. Baril DT, Carroccio A, Ellozy SH, Palchik E, Addis MD, Jacobs TS, et al. Endovascular thoracic aortic repair and previous or concomitant abdominal aortic repair: is the increased risk of spinal cord ischemia real?. Ann Vasc Surg. 2006;20:188–194
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  24. Greenberg RK, Resch T, Nyman U, Lindh M, Brunkwall J, Brunkwall P, et al. Endovascular repair of descending thoracic aortic aneurysms: an early experience with intermediate-tem follow-up. J Vasc Surg. 2000;31:147–156
  25. Carroccio A, Marin ML, Ellozy S, Hollier LH. Pathophysiology of paraplegia following endovascular thoracic aortic aneurysm repair. J Cardiac Surg. 2001;11:359–366
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 Competition of interest: Dr Makaroun has received research support and served as a consultant for W.L. Gore & Associates.

PII: S0741-5214(07)01525-X

doi: 10.1016/j.jvs.2007.09.042

Journal of Vascular Surgery
Volume 47, Issue 3 , Pages 625-628 , March 2008

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