Successful reversal of isolated delayed spinal cord ischemia following endovascular abdominal aneurysm repair

Qusai Aljarrah; Mamoon H Al-Omari; Mwaffaq Elheis; Mooath Al-Jarrah; Abdelwahab Jamal; Abdullah Alzoubi

doi:10.2147/VHRM.S191197

Successful reversal of isolated delayed spinal cord ischemia following endovascular abdominal aneurysm repair

Vasc Health Risk Manag. 2019 Apr 23:15:81-87. doi: 10.2147/VHRM.S191197. eCollection 2019.

Authors

Qusai Aljarrah¹, Mamoon H Al-Omari², Mwaffaq Elheis², Mooath Al-Jarrah³, Abdelwahab Jamal³, Abdullah Alzoubi⁴

Affiliations

¹ Department of Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
² Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
³ School of Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
⁴ Department of Pharmacology, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordon.

Abstract

A 74-year-old patient presented with isolated fecal incontinence 6 weeks following endovascular aneurysm repair. The delayed presentation of spinal cord ischemia was precipitated by commencement of alpha-blockers for benign prostatic hyperplasia. This case stresses that vulnerability to spinal cord perfusion is not limited to the perioperative period. In addition, systemic arterial pressure should be closely monitored in cases of marginal vascular insufficiency of the spinal cord.

Keywords: abdominal aortic aneurysm; endovascular aneurysm repair; fecal incontinence; spinal cord ischemia.

Publication types

Case Reports

MeSH terms

Adrenergic alpha-1 Receptor Antagonists / adverse effects*
Aged
Angiography, Digital Subtraction
Aortic Aneurysm, Abdominal / diagnostic imaging
Aortic Aneurysm, Abdominal / surgery*
Aortography / methods
Arterial Pressure / drug effects*
Blood Vessel Prosthesis Implantation / adverse effects*
Computed Tomography Angiography
Endovascular Procedures / adverse effects*
Fecal Incontinence / etiology
Fecal Incontinence / therapy
Humans
Magnetic Resonance Imaging
Male
Prostatic Hyperplasia / diagnosis
Prostatic Hyperplasia / diagnostic imaging*
Quinazolines / adverse effects*
Spinal Cord Ischemia / diagnostic imaging
Spinal Cord Ischemia / etiology*
Spinal Cord Ischemia / physiopathology
Spinal Cord Ischemia / therapy*
Time Factors
Treatment Outcome

Substances

Adrenergic alpha-1 Receptor Antagonists
Quinazolines
alfuzosin