Paraspinal muscle claudication after fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms

Journal of Vascular Surgery Cases and Innovative Techniques

Thanila A. Macedo, MD¹  Paul Wennberg, MD²  Aleem K. Mirza, MS³  Jussi M. Karkkainen, MD, PhD³  Gustavo S. Oderich, MD⁴  Emanuel R. Tenorio, MD, PhD⁴ 

[1] Department of Radiology, University of Texas Health Science, Houston, Tex;Division of Vascular Medicine, Mayo Clinic, Rochester, Minn;Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn;Division of Vascular and Endovascular Surgery, University of Texas Health Science, Houston, Tex;

关键词: Fenestrated-branched endovascular aortic repair (F-BEVAR);    Thoracoabdominal aortic aneurysm (TAAA);    Spinal cord ischemia (SCI);    Paraspinal muscles;    Paraspinal claudication;    Transcutaneous oxygen pressure (TcPO2);   

DOI  :  

来源: DOAJ

【 摘 要 】

Fenestrated-branched endovascular repair of thoracoabdominal aneurysms carries a risk of spinal cord ischemia owing to extensive coverage of intercostal arteries, but other consequences of decreased flow to the paraspinal muscles have not been delineated. We describe a 54-year-old woman treated by multibranched thoracoabdominal aneurysm repair who developed severe disabling exertional thoracic and lumbar back pain after the operation. Despite physical therapy, the patient remains with disabling symptoms at 2 years of follow-up. Transcutaneous oxygen pressures confirmed exercise-induced decrease in oxygen pressure, consistent with decreased muscle perfusion. We propose the term paraspinal muscle claudication to describe these symptoms.

【 授权许可】

Unknown