Paraspinal muscle claudication after fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms

Aleem K. Mirza, Emanuel R. Tenorio, Jussi M. Karkkainen, Paul Wennberg, Thanila A. Macedo, Gustavo S. Oderich

Research output: Contribution to journalArticle

Abstract

Fenestrated-branched endovascular repair of thoracoabdominal aneurysms carries a risk of spinal cord ischemia owing to extensive coverage of intercostal arteries, but other consequences of decreased flow to the paraspinal muscles have not been delineated. We describe a 54-year-old woman treated by multibranched thoracoabdominal aneurysm repair who developed severe disabling exertional thoracic and lumbar back pain after the operation. Despite physical therapy, the patient remains with disabling symptoms at 2 years of follow-up. Transcutaneous oxygen pressures confirmed exercise-induced decrease in oxygen pressure, consistent with decreased muscle perfusion. We propose the term paraspinal muscle claudication to describe these symptoms.

Original languageEnglish (US)
Pages (from-to)464-468
Number of pages5
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume6
Issue number3
DOIs
StatePublished - Sep 2020

Keywords

  • DROP index
  • DROPmin
  • Fenestrated-branched endovascular aortic repair (F-BEVAR)
  • Paraspinal claudication
  • Paraspinal muscles
  • Spinal cord ischemia (SCI)
  • Thoracoabdominal aortic aneurysm (TAAA)
  • Transcutaneous oxygen pressure (TcPO2)

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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