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Paraspinal muscle claudication after fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms.

Authors :
Mirza AK
Tenorio ER
Karkkainen JM
Wennberg P
Macedo TA
Oderich GS
Source :
Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2020 Jul 17; Vol. 6 (3), pp. 464-468. Date of Electronic Publication: 2020 Jul 17 (Print Publication: 2020).
Publication Year :
2020

Abstract

Fenestrated-branched endovascular repair of thoracoabdominal aneurysms carries a risk of spinal cord ischemia owing to extensive coverage of intercostal arteries, but other consequences of decreased flow to the paraspinal muscles have not been delineated. We describe a 54-year-old woman treated by multibranched thoracoabdominal aneurysm repair who developed severe disabling exertional thoracic and lumbar back pain after the operation. Despite physical therapy, the patient remains with disabling symptoms at 2 years of follow-up. Transcutaneous oxygen pressures confirmed exercise-induced decrease in oxygen pressure, consistent with decreased muscle perfusion. We propose the term paraspinal muscle claudication to describe these symptoms.<br /> (© 2020 The Author(s).)

Details

Language :
English
ISSN :
2468-4287
Volume :
6
Issue :
3
Database :
MEDLINE
Journal :
Journal of vascular surgery cases and innovative techniques
Publication Type :
Report
Accession number :
32875181
Full Text :
https://doi.org/10.1016/j.jvscit.2020.07.002