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Titolo:
Spinal cord ischaemia after stent-graft treatment for infra-renal abdominal aortic aneurysms. Analysis of the eurostar database
Autore:
Berg, P; Kaufmann, D; van Marrewijk, CJ; Buth, J;
Indirizzi:
Ctr Hosp Luxembourg, Dept Vasc Surg, L-1210 Luxembourg, Luxembourg Ctr Hosp Luxembourg Luxembourg Luxembourg L-1210 Luxembourg, Luxembourg Catharina Hosp, Eurostar Data Registry Ctr, Eindhoven, Netherlands Catharina Hosp Eindhoven Netherlands gistry Ctr, Eindhoven, Netherlands
Titolo Testata:
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
fascicolo: 4, volume: 22, anno: 2001,
pagine: 342 - 347
SICI:
1078-5884(200110)22:4<342:SCIAST>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHOLESTEROL EMBOLISM; ISCHEMIA; SURGERY; COMPLICATIONS; PARAPLEGIA; REPAIR; RECONSTRUCTION; DAMAGE;
Keywords:
abdominal aortic aneurysm; endovascular; postoperative complications; infarction; spinal cord ischaemia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Berg, P Ctr Hosp Luxembourg, Dept Vasc Surg, 4 Rue Barble, L-1210 Luxembourg, Luxembourg Ctr Hosp Luxembourg 4 Rue Barble Luxembourg Luxembourg L-1210 urg
Citazione:
P. Berg et al., "Spinal cord ischaemia after stent-graft treatment for infra-renal abdominal aortic aneurysms. Analysis of the eurostar database", EUR J VAS E, 22(4), 2001, pp. 342-347

Abstract

Objectives: to evaluate the prevalence and the possible causes of spinal cord ischaemia (SCI) following endovascular abdominal aneurysm repair (EVAR), Differences in the incidence of this complication between endovascular treatment and published series following conventional treatment were assessed. Design: analysis of patients enrolled in the EUROSTAR collaborators registry,Materials and methods: 2862 patients operated between fitly 1994 and July 2000 were analysed. Patient characteristics, aneurysm morphology, procedurecharacteristics and potential causative factors with particular interference with pelvic circulation or pelvic embolisation were related to the risk of SCI,Results: six patients (0.21%) were identified with postoperative symptoms of SCI: one complete spinal cord infarction (type I), two anterior spinal artery syndromes (type II) and three combinations of root lesions and centromedullary infarcts (type III). In the patients with type I or II lesions (3/6) no regression of neurological symptoms was noted, whereas the patients with type III lesions (3/6) had partial regression of symptoms in two casesand a full neurological recovery in one case. There was a significant correlation beta,cen emboli (P <0.001) and coil embolisation of hypogastric or lumbar arteries (p <0.029) and the development of SCI. Conclusions: SCI is equally rare following open aortic surgery or EV AR. Microembolisin is the probable cause. SCI should be mentioned when taking informed consent.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 01:51:26