No Increased Risk of Spinal Cord Ischemia in Delayed AAA Repair Following Thoracic Aortic Surgery. (February 2013)

• Record Type: Journal Article
• Authors: Ullery, Brant W.; Wang, Grace J.; Woo, Edward Y.; Cheung, Albert T.; McGarvey, Michael L.; Carpenter, Jeffrey P.; Fairman, Ronald M.; Jackson, Benjamin M.
• Is Part Of: Vascular & endovascular surgery. Volume 47:Number 2(2013)
• Page Start: 85
• Page End: 91
• Publication Date: 2013-02
• Subjects: spinal cord ischemia -- abdominal aortic aneurysm -- thoracic aortic aneurysm -- endovascular aneurysm repair -- thoracic endovascular aortic repair; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574412474500
• Languages: English
• ISSNs: 1538-5744

Abstract

Objective: To examine the results of open or endovascular abdominal aortic aneurysm (AAA) repair following prior open or endovascular thoracic aortic surgery. Methods: A retrospective review of all patients who underwent AAA repair in a delayed fashion following prior thoracic aortic surgery at a single university hospital between 1999 and 2011 was performed. Results: Thirteen patients underwent AAA repair following prior thoracic aortic repair. Mean age was 68.9 ± 6.9 years and 77% (n = 10) were male. Three patients experienced transient delayed-onset spinal cord ischemia (SCI) following initial thoracic surgery. Mean time interval between initial thoracic aortic surgery and subsequent AAA repair was 2.0 ± 1.8 years. Overall rate of SCI and 30-day mortality after delayed AAA repair was 0%. Conclusions: This series does not demonstrate any evidence of increased risk of perioperative mortality or SCI in patients undergoing delayed AAA repair after prior thoracic aortic surgery.