Case Reports in Medicine (Jan 2011)

Spinal Cord Ischemia after Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm: A Rare Complication

  • George N. Kouvelos,
  • Nektario Papa,
  • Christos Nassis,
  • Nikolaos Xiropotamos,
  • George Papadopoulos,
  • Miltiadis I. Matsagkas

DOI
https://doi.org/10.1155/2011/954572
Journal volume & issue
Vol. 2011

Abstract

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Neurologic deficit secondary to spinal cord ischemia after elective infrarenal, endovascular aneurysm repair (EVAR), consists a rare and rather disastrous complication. The etiology of such neurologic complication seems to be multifactorial, making this event unpredictable and foremost unpreventable. We report a case of paraparesis and bladder dysfunction that occurred immediately after the EVAR procedure. Prompt management by conservative or invasive methods seems to be important for the reversal of the neurologic deficit and the optimization of patient's outcome.