Freyrie A, Testi G, Gargiulo M, Faggioli G, Mauro R, Stella A
Department of Vascular Surgery, S. Orsola-Malpighi Hospital, University of Bologna, Italy.
J Cardiovasc Surg (Torino). 2011 Oct;52(5):731-4. Epub 2008 Oct 24.
Spinal cord ischemia is a rare but catastrophic complication after endovascular treatment of infrarenal aortic aneurysm: only 14 cases are reported in the literature. A patient with a 6 cm infrarenal aortic aneurysm extending to both common iliac arteries and high surgical risk was submitted to endovascular repair with exclusion of both hypogastric arteries and surgical revascularization of the right hypogastric artery. The patient presented paraplegia, apallesthesia and superficial hyposensitivity immediately after the procedure. A spinal cord drainage was positioned with little improvement of superficial sensitivity. We undertook a systematic review of the literature on this topic.
文献中仅报道了14例。一名患有6 cm肾下腹主动脉瘤且病变累及双侧髂总动脉、手术风险高的患者接受了血管内修复术，术中双侧髂内动脉被排除在外，同时对右侧髂内动脉进行了手术再血管化。术后患者立即出现截瘫、触觉缺失和浅感觉减退。进行了脊髓引流，但浅感觉改善甚微。我们对该主题的文献进行了系统综述。
