Koda Yojiro, Yamanaka Katsuhiro, Omura Atsushi, Gentsu Tomoyuki, Yamaguchi Masato, Okada Kenji
Division of Cardiovascular Surgery, Department of Surgery, Kobe University Hospital, Kobe, Hyogo, Japan.
Department of Radiology, Kobe University Hospital, Kobe, Hyogo, Japan.
J Vasc Surg Cases Innov Tech. 2022 Jul 9;8(3):447-449. doi: 10.1016/j.jvscit.2022.06.007. eCollection 2022 Sep.
Spinal cord ischemia (SCI) after endovascular abdominal aortic aneurysm repair is a rare but devastating complication. Occlusion of the artery of Adamkiewicz or feeders to the collateral network for spinal cord circulation (such as the subclavian, intercostal, lumbar, and internal iliac arteries) is associated with the onset of SCI. We present a case of monoplegia owing to SCI after elective endovascular abdominal aortic aneurysm repair with coil embolization of the left internal iliac artery in an elderly patient with a history of arteriosclerosis obliterans and aortic dissection, preoperatively occluding multiple intercostal arteries and the right internal iliac artery.
血管内腹主动脉瘤修复术后脊髓缺血（SCI）是一种罕见但极具破坏性的并发症。Adamkiewicz动脉或脊髓循环侧支网络的供血动脉（如锁骨下动脉、肋间动脉、腰动脉和髂内动脉）闭塞与SCI的发生有关。我们报告一例老年患者，有动脉硬化闭塞症和主动脉夹层病史，术前多条肋间动脉和右髂内动脉闭塞，在择期血管内腹主动脉瘤修复并对左髂内动脉进行线圈栓塞后，因SCI出现单瘫。
