Abstract
A single-institution retrospective review was performed between 1991 and 2017. Of 1114 patients who underwent type II thoracoabdominal aortic aneurysm (TAAA) repair, intercostal lumbar artery reattachment was used in 86% (959) of cases and cerebrospinal fluid drainage in 63% (698). Spinal cord deficit developed after 14% (151) of repairs (8% [86] permanent). Patients with spinal cord deficit were more likely to present with rupture and to undergo emergency repair. Reattachment of intercostal arteries was protective against paraplegia or paraparesis. Spinal cord deficits after type II TAAA repair remain concerning.
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