Spinal Cord Ischemia After Thoracoabdominal Aortic Aneurysms Endovascular Repair: From the Italian Multicenter Fenestrated/Branched Endovascular Aneurysm Repair Registry.
Enrico RinaldiAndrea MelloniEnrico GallittoAaron Thomas FargionGiacomo IserniaAndrea KahlbergBertoglio LucaGianluca FaggioliMassimo LentiCarlo PratesiMauro GargiuloGermano MelissanoRoberto ChiesaBaccani LuigiBertoglio LucaChiesa RobertoFaggioli GianlucaFargion AaronFenelli CeciliaGallitto EnricoGargiulo MauroIsernia GiacomoLenti MassimoLogiacco AntoninoKahlberg AndreaMascoli ChiaraMelissano GermanoMelloni AndreaPini RodolfoPratesi CarloRinaldi EnricoSimonte GioeleSpeziali SaraPublished in: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2022)
The present study indicates that SCI is still an open issue after extent I to III TAAA endovascular repair, while its incidence in extent IV TAAA and pararenal/juxtarenal aneurysms is rare. Thoracoabdominal aortic aneurysms extension, urgent TAAA repair for rupture, severe bleeding, and 30 day renal insufficiency have been identified as significant risk factors for SCI. In the presence of such factors, adjunctive strategies may be considered to reduce SCI rates, while in low-risk patients invasive or potentially-risky maneuvers might not be justified.
Keyphrases
- spinal cord injury
- aortic dissection
- spinal cord
- end stage renal disease
- aortic aneurysm
- aortic valve
- ejection fraction
- chronic kidney disease
- newly diagnosed
- pulmonary artery
- neuropathic pain
- atrial fibrillation
- prognostic factors
- cross sectional
- coronary artery
- pulmonary hypertension
- pulmonary arterial hypertension
- double blind