Department of Surgery, Maastricht University Medical Centre, PO Box 5800, 6202 AZ Maastricht, The Netherlands.
Eur J Vasc Endovasc Surg. 2010 Nov;40(5):589-95. doi: 10.1016/j.ejvs.2010.07.024. Epub 2010 Aug 24.
Spinal cord ischemia after open surgical repair for rAAA is a rare event. We estimated the current incidence and tried to identify risk factors. We also report a new case.
Group A consisted of 10 reports on open repair for rAAA from 1980 until 2009. Only series of ≥100 patients were considered to estimate the incidence. Thirty three case reports from 1956 until 2009 were identified (group B). Case reports from group B were not encountered in group A. Group B patients were stratified according to the type of neurological deficit as described by Gloviczki (type I complete infarction and type II infarction of the anterior two third).
Group A consisted of 1438 patients. In group A 86% were male with a mean age of 72.1 years. The incidence of post-operative paraplegia was 1.2% (range 0-2.8%). In-hospital mortality was 46.9%. Of the 33 patients of group B were 86% male with a mean age of 68.0 years. Most patients developed a type I (42%) or type II (33%) deficit. In-hospital mortality was 51.6%. No significant differences between different types were encountered.
Spinal cord ischemia after ruptured AAA is a rare complication with an incidence of 1.2% (range 0-2.8%).
开放性手术修复 rAAA 后脊髓缺血是一种罕见的事件。我们评估了目前的发病率，并试图确定风险因素。我们还报告了一个新病例。
A 组由 1980 年至 2009 年的 10 篇关于开放性修复 rAAA 的报告组成。仅考虑了系列病例数≥100 例的报告来估计发病率。从 1956 年至 2009 年共确定了 33 例病例报告（B 组）。B 组中的病例报告未在 A 组中遇到。根据 Gloviczki 描述的神经功能缺损类型对 B 组患者进行分层（I 型完全梗死和前 2/3 梗死的 II 型）。
A 组包括 1438 例患者。A 组中 86%为男性，平均年龄为 72.1 岁。术后截瘫的发生率为 1.2%（范围 0-2.8%）。住院死亡率为 46.9%。B 组的 33 例患者中，86%为男性，平均年龄为 68.0 岁。大多数患者发生 I 型（42%）或 II 型（33%）缺损。住院死亡率为 51.6%。不同类型之间未发现显著差异。
rAAA 后脊髓缺血是一种罕见的并发症，发病率为 1.2%（范围 0-2.8%）。
