DOI: 10.1177/15385744231198715 ISSN:

Acute Type B Aortic Dissection Complicated With Spinal Cord Ischemia and Paraplegia Treated With Endovascular Scissor Technique

Alexandra Catasta, Antonio Freyrie, Alberto Bramucci, Claudio Bianchini Massoni, Paolo Perini
  • Cardiology and Cardiovascular Medicine
  • General Medicine
  • Surgery

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.

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