Paraplegia Due to Spinal Cord Ischemia after Endovascular Treatment of a Type II Endoleak

Jorge Sanz-Sánchez; Dario Poretti; Giorgio Poletto; Efrem Civilini

doi:10.1016/j.avsg.2019.05.054

Paraplegia Due to Spinal Cord Ischemia after Endovascular Treatment of a Type II Endoleak

Ann Vasc Surg. 2019 Nov:61:472.e1-472.e3. doi: 10.1016/j.avsg.2019.05.054. Epub 2019 Aug 5.

Authors

Jorge Sanz-Sánchez¹, Dario Poretti¹, Giorgio Poletto¹, Efrem Civilini²

Affiliations

¹ Humanitas Clinical and Research Center, Rozzano, Milan, Italy.
² Humanitas Clinical and Research Center, Rozzano, Milan, Italy; Department of Biomedical Sciences, Humanitas University, Rozzano, Milan, Italy. Electronic address: efrem.civilini@gmail.com.

PMID: 31394248
DOI: 10.1016/j.avsg.2019.05.054

Abstract

Type II endoleaks are a common complication after endovascular abdominal aortic aneurysm repair, with transarterial embolization using synthetic surgical glue being an established treatment option. We report a case of paraplegia due to spinal cord ischemia after lumbar arteries embolization by Glubran-lipiodol glue for a type II endoleak. Special attention must be given by interventional specialists when applying surgical diluted glues for the treatment of type II endoleaks to avoid distal embolization and subsequent spinal cord ischemia.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Aortic Aneurysm, Abdominal / surgery*
Blood Vessel Prosthesis Implantation / adverse effects*
Cyanoacrylates / administration & dosage
Cyanoacrylates / adverse effects*
Embolization, Therapeutic / adverse effects*
Endoleak / diagnostic imaging
Endoleak / etiology
Endoleak / therapy*
Endovascular Procedures / adverse effects*
Foreign-Body Migration / diagnostic imaging
Foreign-Body Migration / etiology*
Humans
Male
Paraplegia / diagnostic imaging
Paraplegia / etiology*
Spinal Cord Ischemia / diagnostic imaging
Spinal Cord Ischemia / etiology*
Treatment Outcome

Substances

Cyanoacrylates
glubran