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The Journal of Cardiovascular Surgery 2020 Jun 19

DOI: 10.23736/S0021-9509.20.11360-0

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Quadriplegia and quadriparesis after endovascular aortic procedures: a catastrophic and under-reported complication?

Andrea KAHLBERG 1, Emanuel R. TENORIO 2, Alessandro GRANDI 1 , Gustavo S. ODERICH 2, Fabio VERZINI 3, Enrico CIERI 4, Luigi BACCANI 4, Germano MELISSANO 1, Roberto CHIESA 1

1 Vascular Surgery, “Vita-Salute” University School of Medicine, San Raffaele Scientific Institute, Milan, Italy; 2 Advanced Endovascular Aortic Research Program, Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester MN, USA; 3 Unit of Vascular Surgery, Department of Surgical Sciences, University of Turin, Turin, Italy; 4 Vascular and Endovascular Surgery, Hospital S. Maria Misericordia, University of Perugia, Perugia, Italy


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PURPOSE: to report three cases of spinal cord ischemia (SCI) involving the cervical- dorsal level and leading to quadriplegia and quadriparesis, following thoraco-abdominal aortic aneurysm (TAAA) endovascular repair.
CASE REPORTS: A 79-year-old woman with an extent III TAAA was scheduled for a multi-step fenestrated/branched endovascular aortic repair. Immediately after the first step, consisting of standard proximal thoracic stent-graft implantation, she developed quadriplegia that did not resolve despite all therapeutic actions, and died as a consequence on postoperative day 32. A 72-year old male with an extent IV TAAA underwent endovascular repair, using a customized fenestrated aortic stent-graft. Five hours after the procedure, he developed an asymmetric quadriparesis, that progressively resolved after spinal fluid drainage and arterial pressure increase, even if signs of SCI were documented at magnetic resonance imaging (MRI). A 79-year old man, referred for a type II TAAA with rapid enlargement, underwent a one-stage endovascular repair, using a customized branched aortic stent-graft. As soon as the procedure was completed, the patient presented inferior limbs paralysis and upper limbs paresis. Although no signs of SCI were documented at MRI, the patient did not recover and died as a consequence three months after the procedure.
CONCLUSIONS: Although rare, cervical-dorsal SCI may develop during TAAA endovascular aortic repair. This possibly catastrophic event should be considered in the decisional process of TAAA repair and taken into account to allow prompt recognition and treatment.


KEY WORDS: Aortic aneurysm; Endovascular repair; Spinal cord ischemia; Quadriplegia; Quadriparesis

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