Lee J. Goldstein, MD, Combiz Rezayat, MD, Gautam V

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Presentation transcript:

Delayed permanent paraplegia after endovascular repair of abdominal aortic aneurysm Lee J. Goldstein, MD, Combiz Rezayat, MD, Gautam V. Shrikhande, MD, Harry L. Bush, MD Journal of Vascular Surgery Volume 51, Issue 3, Pages 725-728 (March 2010) DOI: 10.1016/j.jvs.2009.09.023 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Preoperative non-contrast coronal abdominal computed tomography (CT) scan demonstrating the ectatic infrarenal aortic neck above the abdominal aortic aneurysm. Journal of Vascular Surgery 2010 51, 725-728DOI: (10.1016/j.jvs.2009.09.023) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Completion digital subtraction angiogram demonstrating endovascular exclusion of the abdominal aortic aneurysm (AAA) and flow into the external iliac artery after placement of aorto-uni-iliac (AUI) device. Arrow indicates superior mesenteric artery (SMA). B, Digital subtraction angiogram performed via retrograde injection from a left femoral arterial sheath demonstrating effective occlusion of the left common iliac artery via the occluder device, and patency of the left hypogastric artery. Journal of Vascular Surgery 2010 51, 725-728DOI: (10.1016/j.jvs.2009.09.023) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Postoperative axial contrast-enhanced computed tomography (CT) scan demonstrating continued patency of the left hypogastric artery (arrow) after the patient presented with paraplegia. Journal of Vascular Surgery 2010 51, 725-728DOI: (10.1016/j.jvs.2009.09.023) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 Lateral aortogram before deployment of the aorto-uni-iliac endograft. There were no prominent lumbar arteries noted in the suprarenal segment of aorta to be covered by the endograft. Journal of Vascular Surgery 2010 51, 725-728DOI: (10.1016/j.jvs.2009.09.023) Copyright © 2010 Society for Vascular Surgery Terms and Conditions