Journal of Vascular Surgery
Volume 49, Issue 2 , Pages 302-306 , February 2009

Spinal cord ischemia after TEVAR in patients with abdominal aortic aneurysms

Presented at the Thirty-second Annual Meeting of the Southern Association for Vascular Surgery, Naples, Fla, Jan 16-19, 2008.

  • Daniel J. Martin, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, University of Florida, Gainesville, Fla
  • ,
  • Tomas D. Martin, MD

      Affiliations

    • Division of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, Fla
  • ,
  • Philip J. Hess, MD

      Affiliations

    • Division of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, Fla
  • ,
  • Michael J. Daniels, ScD

      Affiliations

    • Department of Epidemiology and Biostatistics, University of Florida, Gainesville, Fla
  • ,
  • Robert J. Feezor, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, University of Florida, Gainesville, Fla
  • ,
  • W. Anthony Lee, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, University of Florida, Gainesville, Fla
    • Corresponding Author InformationReprint requests: W. Anthony Lee, MD, Division of Vascular Surgery and Endovascular Therapy, 1600 SW Archer Road, Suite NG-45, Post Office Box 100286, Gainesville, FL 32610-0286

Received 25 May 2008 ,Accepted 29 August 2008.

References 

  1. 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
  2. Bell RE, Taylor PR, Aukett M, Sabharwal T, Reidy JF. Mid-term results for second-generation thoracic stent grafts. Br J Surg. 2003;90:811–817
  3. 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
  4. Criado FJ, Abul-Khoudoud OR, Domer GS, McKendrick C, Zuzga M, Clark NS, et al. Endovascular repair of the thoracic aorta: lessons learned. Ann Thorac Surg. 2005;80:857–863
  5. Dake MD, Miller DC, Mitchell RS, Semba CP, Moore KA, Sakai T. The “first generation” of endovascular stent-grafts for patients with aneurysms of the descending thoracic aorta. J Thorac Cardiovasc Surg. 1998;116:689–703
  6. Ellozy SH, Carroccio A, Minor M, Jacobs T, Chae K, Cha A, et al. Challenges of endovascular tube graft repair of thoracic aortic aneurysm: midterm follow-up and lessons learned. J Vasc Surg. 2003;38:676–683
  7. 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
  8. Greenberg R, Resch T, Nyman U, Lindh M, Brunkwall J, Brunkwall P, et al. Endovascular repair of descending thoracic aortic aneurysms: an early experience with intermediate-term follow-up. J Vasc Surg. 2000;31:147–156
  9. Greenberg RK, O'Neill S, Walker E, Haddad F, Lyden SP, Svensson LG, et al. Endovascular repair of thoracic aortic lesions with the Zenith TX1 and TX2 thoracic grafts: intermediate-term results. J Vasc Surg. 2005;41:589–596
  10. Makaroun MS, Dillavou ED, Kee ST, Sicard G, Chaikof E, Bavaria J, et al. Endovascular treatment of thoracic aortic aneurysms: results of the phase II multicenter trial of the GORE TAG thoracic endoprosthesis. J Vasc Surg. 2005;41:1–9
  11. Neuhauser B, Perkmann R, Greiner A, Steingruber I, Tauscher T, Jaschke W, et al. Mid-term results after endovascular repair of the atherosclerotic descending thoracic aortic aneurysm. Eur J Vasc Endovasc Surg. 2004;28:146–153
  12. Griepp RB, Ergin MA, Galla JD, Lansman S, Khan N, Quintana C, et al. Looking for the artery of Adamkiewicz: a quest to minimize paraplegia after operations for aneurysms of the descending thoracic and thoracoabdominal aorta. J Thorac Cardiovasc Surg. 1996;112:1202–1213
  13. Azizzadeh A, Huynh TT, Miller CC, Estrera AL, Porat EE, Sheinbaum R, et al. Postoperative risk factors for delayed neurologic deficit after thoracic and thoracoabdominal aortic aneurysm repair: a case-control study. J Vasc Surg. 2003;37:750–754
  14. Maniar HS, Sundt TM, Prasad SM, Chu CM, Camillo CJ, Moon MR, et al. Delayed paraplegia after thoracic and thoracoabdominal aneurysm repair: a continuing risk. Ann Thorac Surg. 2003;75:113–119
  15. Fattori R, Nienaber CA, Rousseau H, Beregi JP, Heijmen R, Grabenwoger M, et al. Results of endovascular repair of the thoracic aorta with the Talent Thoracic stent graft: the Talent Thoracic Retrospective Registry. J Thorac Cardiovasc Surg. 2006;132:332–339
  16. Noor N, Sadat U, Hayes PD, Thompson MM, Boyle JR. Management of the left subclavian artery during endovascular repair of the thoracic aorta. J Endovasc Ther. 2008;15:168–176
  17. Peterson BG, Eskandari MK, Gleason TG, Morasch MD. Utility of left subclavian artery revascularization in association with endoluminal repair of acute and chronic thoracic aortic pathology. J Vasc Surg. 2006;43:433–439
  18. Thompson M, Ivaz S, Cheshire N, Fattori R, Rousseau H, Heijmen R, et al. Early results of endovascular treatment of the thoracic aorta using the Valiant endograft. Cardiovasc Intervent Radiol. 2007;30:1130–1138
  19. Akkersdijk GJ, Puylaert JB, de Vries AC. Abdominal aortic aneurysm as an incidental finding in abdominal ultrasonography. Br J Surg. 1991;78:1261–1263
  20. Derbyshire ND, Lindsell DR, Collin J, Creasy TS. Opportunistic screening for abdominal aortic aneurysm. J Med Screen. 1994;1:220–222
  21. Lederle FA, Johnson GR, Wilson SE, Littooy FN, Krupski WC, Bandyk D, et al. Aneurysm Detection and Management Veterans Affairs Cooperative Study Investigators Yield of repeated screening for abdominal aortic aneurysm after a 4-year interval. Arch Intern Med. 2000;160:1117–1121
  22. Scott RA, Vardulaki KA, Walker NM, Day NE, Duffy SW, Ashton HA. The long-term benefits of a single scan for abdominal aortic aneurysm (AAA) at age 65. Eur J Vasc Endovasc Surg. 2001;21:535–540
  23. Santilli SM, Littooy FN, Cambria RA, Rapp JH, Tretinyak AS, d'Audiffret AC, et al. Expansion rates and outcomes for the 3.0-cm to the 3.9-cm infrarenal abdominal aortic aneurysm. J Vasc Surg. 2002;35:666–671
  24. Bavaria JE, Appoo JJ, Makaroun MS, Verter J, Yu ZF, Mitchell RS. Endovascular stent grafting versus open surgical repair of descending thoracic aortic aneurysms in low-risk patients: a multicenter comparative trial. J Thorac Cardiovasc Surg. 2007;133:369–377
  25. Najibi S, Terramani TT, Weiss VJ, Mac Donald MJ, Lin PH, Redd DC, et al. Endoluminal versus open treatment of descending thoracic aortic aneurysms. J Vasc Surg. 2002;36:732–737
  26. Stone DH, Brewster DC, Kwolek CJ, Lamuraglia GM, Conrad MF, Chung TK, et al. Stent-graft versus open-surgical repair of the thoracic aorta: mid-term results. J Vasc Surg. 2006;44:1188–1197
  27. Buth J, Harris PL, Hobo R, van Eps R, Cuypers P, Duijm L, et al. Neurologic complications associated with endovascular repair of thoracic aortic pathology: incidence and risk factors (A study from the European Collaborators on Stent/Graft Techniques for Aortic Aneurysm Repair (EUROSTAR) registry). J Vasc Surg. 2007;46:1103–1110
  28. Amabile P, Grisoli D, Giorgi R, Bartoli JM, Piquet P. Incidence and determinants of spinal cord ischaemia in stent-graft repair of the thoracic aorta. Eur J Vasc Endovasc Surg. 2008;35:455–461

 Competition of interest: none.

 CME article

PII: S0741-5214(08)01633-9

doi: 10.1016/j.jvs.2008.08.119

Journal of Vascular Surgery
Volume 49, Issue 2 , Pages 302-306 , February 2009