Spinal Cord Ischaemia Following Fenestrated Endovascular Aortic Repair for Infrarenal Aortic Aneurysm: Report of a Rare Complication and Its Successful Treatment

Abstract

Introduction Spinal cord ischaemia (SCI) is a rare complication of infrarenal aortic aneurysm repair. Report We present a case of a 68-year-old man with an infrarenal aortic aneurysm treated by fenestrated endovascular aneurysm repair (FEVAR). He developed paraplegia alleviated by cerebrospinal fluid (CSF) drainage and resolved by revascularization of the inadvertently occluded internal iliac artery (IIA). Discussion The incidence and aetiology of SCI following aortic repair are discussed with an emphasis on collateral flow. SCI is rare in FEVAR and does not require routine CSF monitoring but awareness. Prompt restoration of adequate spinal perfusion is curative.