Document Detail


Cerebrospinal fluid drainage to reverse paraplegia after endovascular thoracic aortic aneurysm repair.
MedLine Citation:
PMID:  10821099     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report a case of endovascular descending thoracic aortic aneurysm (TAA) repair in which delayed-onset paraplegia was reversed using cerebrospinal fluid (CSF) drainage. METHODS AND RESULTS: A 74-year-old patient with a 6.0-cm TAA underwent endovascular stent-graft repair that involved overlapping placement of 3 Talent devices to cover the 31-cm-long defect. Twelve hours later, a neurological deficit occurred manifesting as left leg paralysis with paresis on the right. After urgent intrathecal catheter placement and drainage of cerebrospinal fluid for 48 hours, the neurological deficit resolved. The patient's clinical condition was normal and endoluminal exclusion of the TAA remained secure at 8-month follow-up. CONCLUSIONS: This case demonstrates the potential therapeutic role for CSF drainage to reduce the complications of spinal cord injury after endovascular thoracic aneurysm repair.
Authors:
K Tiesenhausen; W Amann; G Koch; K A Hausegger; P Oberwalder; B Rigler
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  7     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-08-16     Completed Date:  2000-08-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  132-5     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, University Hospital, Graz, Austria.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Aneurysm, Thoracic / radiography,  surgery*
Blood Vessel Prosthesis Implantation / adverse effects*
Cerebrospinal Fluid*
Drainage / methods*
Humans
Male
Paraplegia / etiology,  therapy*
Spinal Cord Injuries / etiology,  therapy
Spinal Cord Ischemia / etiology,  therapy
Thoracic Vertebrae

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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