Evidence map›Paper›PMID 41005849›Full record

ArticleJACC. Case reports2025

Paraplegia Following Thoracic Endovascular Aneurysm Repair.

Saroj Kumar Sahoo, Rudra Pratap Mahapatra, Ramachandra Barik, Debasis Acharya, Debasis Panda, Sindhu Rao Malla, Sai Karthik Kowtarapu, Saran P Mohanan, Prabhat Kumar Singh

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Saroj Kumar SahooDepartment of Cardiology, All India Institute of Medical Science, Bhubaneswar, Odisha, India. Electronic address: tem_sarojkumar@aiimsbhubaneswar.edu.in.
Rudra Pratap MahapatraDepartment of Cardiothoracic and Vascular Surgery, All India Institute of Medical Science, Bhubaneswar, Odisha, India.
Ramachandra BarikDepartment of Cardiology, All India Institute of Medical Science, Bhubaneswar, Odisha, India.
Debasis AcharyaDepartment of Cardiology, All India Institute of Medical Science, Bhubaneswar, Odisha, India.
Debasis PandaDepartment of Cardiology, All India Institute of Medical Science, Bhubaneswar, Odisha, India.
Sindhu Rao MallaDepartment of Cardiology, All India Institute of Medical Science, Bhubaneswar, Odisha, India.
Sai Karthik KowtarapuDepartment of Cardiology, All India Institute of Medical Science, Bhubaneswar, Odisha, India.
Saran P MohananDepartment of Cardiology, All India Institute of Medical Science, Bhubaneswar, Odisha, India.
Prabhat Kumar SinghDepartment of Cardiology, All India Institute of Medical Science, Bhubaneswar, Odisha, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal cord ischemia is a rare but severe complication of thoracic endovascular aortic repair (TEVAR). Prompt diagnosis and cerebrospinal fluid (CSF) drainage are critical for neurologic recovery. CASE SUMMARY: A 58-year-old man with a fusiform aneurysm in the descending thoracic aorta underwent TEVAR. Despite stable hemodynamics, he developed complete paraplegia and loss of bowel/bladder control post-TEVAR. Magnetic resonance imaging revealed an anterior spinal artery territory infarct. Therapeutic CSF drainage was initiated within 24 hours, resulting in a gradual neurologic improvement. At 3-month follow-up, the patient regained partial motor function and continence. DISCUSSION: This case underscores the importance of early recognition and intervention in spinal cord ischemia following thoracic endovascular aortic repair. Timely CSF drainage can result in significant neurologic recovery, even in patients presenting with complete motor deficits. TAKE-HOME MESSAGE: This case highlights the critical importance of vigilant postoperative monitoring and timely intervention in preventing permanent deficits following TEVAR.

Indexed as

aortic aneurysmcerebrospinal fluid drainageparaplegiaspinal cord ischemiathoracic endovascular aneurysm repair

Identifiers

PMID41005849
PMCPMC12539470

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.