Analysis of the efficacy of lumbar cistern drainage in the treatment of paraplegia after endovascular repair of acute aortic dissection
10.3760/cma.j.cn115396-20240406-00100
- VernacularTitle:腰大池引流治疗急性主动脉夹层腔内修复术后截瘫的疗效分析
- Author:
Yidong HUANG
1
;
Zhiwen ZHANG
;
Wenrui LI
;
Lei JIN
;
Hai FENG
;
Jun ZHANG
Author Information
1. 首都医科大学附属北京友谊医院血管外科，北京 100050
- Keywords:
Aorta;
Paraplegia;
Spinal cord ischemia;
Dissecting;
Lumbar cisterna drainage
- From:
International Journal of Surgery
2024;51(7):466-470
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of lumbar cisterna drainage(LCD) in treating paraplegia after thoracic endovascular aortic repair(TEVAR) for acute aortic dissection.Methods:A retrospective descriptive study was used to analyze 4 patients with aortic dissection who developed paraplegia after transthoracic aortic stent graft repair (TEVAR) admitted to Beijing Friendship Hospital Affiliated to Capital Medical University from May 2015 to May 2022. There were 3 males and 1 females, aged between 38 and 65 years old. All patients with paraplegia after TEVAR were treated with LCD. Follow-up was carried out by outpatient and telephone for 12 months. The imaging indicators and clinical efficacy were observed.Results:Two patients were fully recovered before discharge, one patient was completely recovered by about 3 months after surgery, and one patient still had reduced sensation and grade 4 muscle strength at 12 months of follow-up. The CT angiography of all 4 patients did not show any evidence of endoleak, and there was no enlargement of the distal dissecting aneurysm.Conclusion:Lumbar cisterna drainage can alleviate or cure paraplegia caused by spinal cord ischemia after TEVAR for acute aortic dissection.
