Acute spinal cord ischemia during aortography.

TL;DRAbstract

To the Editor: We read with utmost interest the report from Restrepo and Guttin1 that described a case of acute spinal cord ischemia, which resulted from aortography in a patient with severe systemic atherosclerosis. In their patient, the injury occurred during apparently straightforward aortography for the evaluation of an aneurysm of the abdominal aorta. The patient was successfully treated with intravenous recombinant tissue plasminogen activator within 3 hours after the onset of symptoms, and he was discharged 3 days after thrombolysis, able to walk unassisted. We had a 79-year-old patient with recent-onset angina pectoris, severe aortic and systemic atherosclerotic disease, and chronic moderate renal failure, who developed extensive spinal cord ischemia after a much more demanding right femoral coronary angiography, because of severe full-length aortic and iliac tortuosity. Our case was never reported in the literature, but it was presented and discussed during some meetings

Chat with Paper

AI Agents for this Paper