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Reversal of Spinal Cord Ischemia Following Endovascular Thoracic Aortic Aneurysm Repair With Hyperbaric Oxygen and Therapeutic Hypothermia
- Source :
- Vascular and Endovascular Surgery. 51:517-520
- Publication Year :
- 2017
- Publisher :
- SAGE Publications, 2017.
-
Abstract
- Background: Neurological adverse events with spinal cord ischemia (SCI) remain one of the most feared complications in patients undergoing thoracic endovascular aortic repair (TEVAR). These patients can develop irreversible paraplegia with lifelong consequences with physical and psychological agony. Case Presentation: We herein present a patient who developed SCI with bilateral lower leg paraplegia on the third postoperative day following TEVAR. Spinal catheter was inserted for spinal fluid drainage. A hyperbaric oxygen therapy was initiated for 90 minutes for 2 days, which was followed by therapeutic hypothermia for 24 hours with a target temperature of 33°C. The patient exhibited significant neurological recovery following these treatments, and he ultimately regained full neurological function without spinal deficit. Discussion: This represents the first reported case of full neurological recovery of a patient who developed complete SCI following TEVAR procedure. The neurological recovery was due in part to immediate therapeutic hypothermia and hyperbaric oxygen therapy which reversed the spinal ischemia.
- Subjects :
- Male
medicine.medical_specialty
Computed Tomography Angiography
030204 cardiovascular system & hematology
Aortic repair
Aortography
Thoracic aortic aneurysm
Blood Vessel Prosthesis Implantation
03 medical and health sciences
0302 clinical medicine
Hyperbaric oxygen
Hypothermia, Induced
Internal medicine
Paralysis
medicine
Humans
In patient
cardiovascular diseases
Adverse effect
Aged
Paraplegia
Hyperbaric Oxygenation
Aortic Aneurysm, Thoracic
Spinal Cord Ischemia
business.industry
Endovascular Procedures
Spinal cord ischemia
Recovery of Function
General Medicine
Hypothermia
medicine.disease
Combined Modality Therapy
Treatment Outcome
Regional Blood Flow
Anesthesia
cardiovascular system
Cardiology
Surgery
medicine.symptom
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 19389116 and 15385744
- Volume :
- 51
- Database :
- OpenAIRE
- Journal :
- Vascular and Endovascular Surgery
- Accession number :
- edsair.doi.dedup.....186e7f9b885eac46223892bbb1e3c890