Spinal cord ischemia after thoracic stent-grafting: causes apart from intercostal artery coverage.

Background: Examination of a large collective combined with individual case analyses may give new insights into mechanisms and prevention of spinal cord ischemia (SCI) after thoracic endovascular repair.

Methods: In an 11-year period, stent-grafts were implanted in 406 patients for various aortic pathologic conditions. The mean age was 63 years (15-91 years) and 300 (74%) patients were men; 58 patients underwent staged thoracic stent-graft procedures.

Quality management in the prophylaxis of venous thrombembolism--results of a survey including 464 medical and surgical patients.

Background: We surveyed the quality of risk stratification politics and monitored the rate of entries to our company-wide protocol for venous thrombembolism (VTE) prophylaxis in order to identify safety concerns.

Patients And Methods: Audit in 464 medical and surgical patients to evaluate quality of VTE prophylaxis.

Results: Patients were classified as low 146 (31 %), medium 101 (22 %), and high risk cases 217 (47 %).

Traumatic transection of the aorta and thoracic spinal cord injury without radiographic abnormality in an adult patient.

Purpose: To describe a rare case of spinal cord injury without radiographic abnormalities (SCIWORA) associated with a traumatic aortic transection.

Case Report: A 48-year-old man was transferred for endovascular treatment of a traumatic aortic transection. Primary traumatic paraplegia had been documented at the scene of the accident.