Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Sep 2010
Case ReportsSpinal cord protection with a cerebrospinal fluid drain in a patient undergoing thoracic endovascular aortic repair.
Paralysis and paraparesis are dreaded complications of thoracic endovascular aortic repair (TEVAR) that occur with an incidence of 2%-6%. Risks factors include the type of thoracic aortic pathology treated, coverage of the left subclavian artery origin without revascularization, concomitant infrarenal abdominal aortic aneurysm repair, extent of stent graft coverage of the thoracic aorta, and renal failure. Cerebral spinal fluid (CSF) drains have been advocated as one of several protective strategies to prevent spinal cord ischemia. This case discussion briefly addresses the evidence supporting the use of CSF drains in patients undergoing TEVAR and offers an algorithm for managing CSF drains.
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J Vasc Interv Radiol · Sep 2010
Case ReportsZone I gunshot neck injury treated with common carotid and esophageal stent grafts.
Management of zone I gunshot injuries to the neck is controversial. Endovascular and endoscopic therapies are appealing minimally invasive alternatives, but they are still evolving. This case report demonstrates effective stent grafting of an arterial and an esophageal zone I neck injury after a civilian gunshot.