A Rare Complication of Spinal Cord Ischemia Following Endovascular Aneurysm Repair of an Infrarenal Abdominal Aortic Aneurysm with Arteriosclerosis Obliterans: Report of a Case

Koichi Morisaki; Takuya Matsumoto; Yutaka Matsubara; Kentaro Inoue; Yukihiko Aoyagi; Daisuke Matsuda; Shinichi Tanaka; Jun Okadome; Yoshihiko Maehara

doi:10.3400/avd.cr.16-00063

Case Reports

A Rare Complication of Spinal Cord Ischemia Following Endovascular Aneurysm Repair of an Infrarenal Abdominal Aortic Aneurysm with Arteriosclerosis Obliterans: Report of a Case

Koichi Morisaki, Takuya Matsumoto, Yutaka Matsubara, Kentaro Inoue, Yukihiko Aoyagi, Daisuke Matsuda, Shinichi Tanaka, Jun Okadome, Yoshihiko Maehara

Author information

Koichi Morisaki
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Higashi-Ku, Fukuoka, Japan
Takuya Matsumoto
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Higashi-Ku, Fukuoka, Japan
Yutaka Matsubara
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Higashi-Ku, Fukuoka, Japan
Kentaro Inoue
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Higashi-Ku, Fukuoka, Japan
Yukihiko Aoyagi
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Higashi-Ku, Fukuoka, Japan
Daisuke Matsuda
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Higashi-Ku, Fukuoka, Japan
Shinichi Tanaka
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Higashi-Ku, Fukuoka, Japan
Jun Okadome
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Higashi-Ku, Fukuoka, Japan
Yoshihiko Maehara
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Higashi-Ku, Fukuoka, Japan

Keywords: spinal cord ischemia, endovascular therapy, abdominal aortic aneurysm, peripheral arterial disease

JOURNAL FREE ACCESS

2016 Volume 9 Issue 3 Pages 255-257

DOI https://doi.org/10.3400/avd.cr.16-00063

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Abstract

We herein report a case of a rare complication of spinal cord ischemia (SCI) following endovascular aneurysm repair (EVAR). Computed tomography showed stenosis and calcification of bilateral iliac arteries and a saccular aneurysm of the terminal aorta. Paraplegia occurred soon after balloon angioplasty of iliac arteries and EVAR. Cerebrospinal fluid drainage was not performed because the patient was on dual antiplatelet drugs. The patient was treated with intravenous methylpredonisolone and naloxone; however, this did not improve his paraplegia. SCI after EVAR is extremely rare and unpredictable complication, however, physicians should be aware of SCI after EVAR in patients with atherosclerosis.

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