Spinal Cord Ischemia Management Following Staged TEVAR and TAMBE

Authors

• Cecilia Li, Michigan State University College of Human Medicine Medical Student
• Nicholas Watson, Corewell Health West

Document Type

Conference Proceeding

Publication Date

10-18-2026

Abstract

Spinal cord ischemia (SCI) remains a devastating complication of thoracic endovascular aortic repair (TEVAR) and thoracoabdominal branch endoprosthesis (TAMBE), with reported incidence rates of 4-18%. We present a 70-year-old woman who developed irreversible SCI following staged TEVAR and TAMBE. Despite aggressive implementation of a multimodal SCI rescue protocol—including cerebrospinal fluid drainage, mean arterial pressure optimization above 100 mmHg, and hemoglobin above 10 m/dL—MRI confirmed spinal cord infarction from T10 through the conus medullaris with permanent flaccid paralysis. This case highlights cumulative SCI risk factors and the importance of being prepared to implement the SCI protocol.

Comments

American Society of Anesthesiologists, The Anesthesiology Meeting, October 16-20, 2026, San Diego, CA

Recommended Citation

Li C, Watson N. Spinal cord ischemia management following staged tevar and tambe. Presented at: American Society of Anesthesiologists, The Anesthesiology Meeting; 2026 Oct 18; San Diego, CA. Available from: https://www.abstractsonline.com/pp8/#!/21448/presentation/7244