Delayed bridging stent placement for rescue of spinal cord ischemia during complex endovascular repair of thoracoabdominal aortic aneurysms
Spinal cord ischemia remains a significant cause of patient morbidity in the repair of thoracoabdominal aortic aneurysms. We present a three-case series of delayed bridging stent placement in patients who had significant neuromonitoring changes during index aneurysm repair. To prevent spinal cord is...
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Elsevier
2025-06-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725000462 |
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| author | Michael H. Parker, MD Michael C. Soult, MD Carlos F. Bechara, MD |
| author_facet | Michael H. Parker, MD Michael C. Soult, MD Carlos F. Bechara, MD |
| author_sort | Michael H. Parker, MD |
| collection | DOAJ |
| description | Spinal cord ischemia remains a significant cause of patient morbidity in the repair of thoracoabdominal aortic aneurysms. We present a three-case series of delayed bridging stent placement in patients who had significant neuromonitoring changes during index aneurysm repair. To prevent spinal cord ischemia, we delayed placement of the final bridging stent in each case for 4 to 8 weeks. The final stent was then placed under local anesthesia with the patient moving their lower extremities throughout the procedure and a 10- to 15-minute balloon occlusion test to ensure adequate spinal perfusion. All patients tolerated the procedure well without evidence of spinal cord ischemia. |
| format | Article |
| id | doaj-art-3b15956f3ec043db9f0271a4e47339ef |
| institution | DOAJ |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-3b15956f3ec043db9f0271a4e47339ef2025-08-20T02:57:21ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-06-0111310176410.1016/j.jvscit.2025.101764Delayed bridging stent placement for rescue of spinal cord ischemia during complex endovascular repair of thoracoabdominal aortic aneurysmsMichael H. Parker, MD0Michael C. Soult, MD1Carlos F. Bechara, MD2Division of Vascular Surgery and Endovascular Therapy, University of Vermont Medical Center, Burlington, VT; Correspondence: Michael H. Parker, MD, University of Vermont Medical Center, 111 Colchester Ave, MP 5, Burlington, VT 05401Division of Vascular Surgery, Loyola University Medical Center, Maywood, ILDivision of Vascular Surgery, Loyola University Medical Center, Maywood, IL; Department of Vascular and Endovascular Surgery, Rush University Medical Center, Chicago, ILSpinal cord ischemia remains a significant cause of patient morbidity in the repair of thoracoabdominal aortic aneurysms. We present a three-case series of delayed bridging stent placement in patients who had significant neuromonitoring changes during index aneurysm repair. To prevent spinal cord ischemia, we delayed placement of the final bridging stent in each case for 4 to 8 weeks. The final stent was then placed under local anesthesia with the patient moving their lower extremities throughout the procedure and a 10- to 15-minute balloon occlusion test to ensure adequate spinal perfusion. All patients tolerated the procedure well without evidence of spinal cord ischemia.http://www.sciencedirect.com/science/article/pii/S2468428725000462Thoracoabdominal aortic aneurysmEndovascular aneurysm repairFenestrated endovascular aneurysm repairSpinal cord ischemiaCase reports |
| spellingShingle | Michael H. Parker, MD Michael C. Soult, MD Carlos F. Bechara, MD Delayed bridging stent placement for rescue of spinal cord ischemia during complex endovascular repair of thoracoabdominal aortic aneurysms Journal of Vascular Surgery Cases and Innovative Techniques Thoracoabdominal aortic aneurysm Endovascular aneurysm repair Fenestrated endovascular aneurysm repair Spinal cord ischemia Case reports |
| title | Delayed bridging stent placement for rescue of spinal cord ischemia during complex endovascular repair of thoracoabdominal aortic aneurysms |
| title_full | Delayed bridging stent placement for rescue of spinal cord ischemia during complex endovascular repair of thoracoabdominal aortic aneurysms |
| title_fullStr | Delayed bridging stent placement for rescue of spinal cord ischemia during complex endovascular repair of thoracoabdominal aortic aneurysms |
| title_full_unstemmed | Delayed bridging stent placement for rescue of spinal cord ischemia during complex endovascular repair of thoracoabdominal aortic aneurysms |
| title_short | Delayed bridging stent placement for rescue of spinal cord ischemia during complex endovascular repair of thoracoabdominal aortic aneurysms |
| title_sort | delayed bridging stent placement for rescue of spinal cord ischemia during complex endovascular repair of thoracoabdominal aortic aneurysms |
| topic | Thoracoabdominal aortic aneurysm Endovascular aneurysm repair Fenestrated endovascular aneurysm repair Spinal cord ischemia Case reports |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725000462 |
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