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Acute Type B Aortic Dissection Complicated With Spinal Cord Ischemia and Paraplegia Treated With Endovascular Scissor Technique.
Vascular and Endovascular Surgery ( IF 0.9 ) Pub Date : 2023-08-28 , DOI: 10.1177/15385744231198715
Alexandra Catasta 1 , Antonio Freyrie 1, 2 , Alberto Bramucci 1 , Claudio Bianchini Massoni 1, 2 , Paolo Perini 1, 2
Affiliation  

Spinal cord ischemia leading to paraplegia is a rare, life-limiting complication of acute type B aortic dissection. We report a case of spinal cord ischemia occurred in a young woman treated with endovascular scissor technique in urgent setting. The patient had an uneventful post-procedural course. After 4 months, computed tomography angiography confirmed false lumen reperfusion and major symptoms were regressed. In selected cases, this procedure is a tool to improve false lumen perfusion in type B dissections, and demonstrated to be helpful in our case of spinal cord ischaemia.

中文翻译:

血管内剪刀技术治疗急性B型主动脉夹层合并脊髓缺血和截瘫。

脊髓缺血导致截瘫是急性 B 型主动脉夹层的一种罕见的、限制生命的并发症。我们报道了一名年轻女性在紧急情况下接受血管内剪刀技术治疗后发生脊髓缺血的病例。患者术后过程平安无事。4个月后,计算机断层扫描血管造影证实假腔再灌注,主要症状消退。在某些病例中,该手术是改善 B 型解剖中假腔灌注的工具,并被证明对我们的脊髓缺血病例有帮助。
更新日期:2023-08-28
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