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1 "Beomsu Shin"
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Case Report
Basic science and research
Spinal Cord Infarction in a Patient Undergoing Veno-arterial Extracorporeal Membrane Oxygenation
Beomsu Shin, Yang Hyun Cho, Jin-Ho Choi, Jeong Hoon Yang
Acute Crit Care. 2018;33(3):187-190.   Published online August 31, 2018
DOI: https://doi.org/10.4266/acc.2016.00556
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  • 9 Crossref
AbstractAbstract PDF
Spinal cord infarction is an uncommon, but serious disorder characterized by severe motor impairment and bladder and bowel dysfunction. Spinal cord infarction is likely caused by hypoperfusion at the thoraco-lumbar spinal cord due to diverse reasons. An 81-year-old woman without motor or neurologic dysfunction presented with cardiogenic shock due to acute myocardial infarction. We performed veno-arterial extracorporeal membrane oxygenation (VA ECMO) to maintain adequate organ perfusion. Lower limb weakness was noted on day 1 of ECMO support. Although the symptom persisted, we could not carry out further evaluation because of her hemodynamic instability. After removal of ECMO, spinal magnetic resonance imaging was performed and showed a signal abnormality extending from the level of T5 to the conus medullaris. The patient underwent conservative management, but eventually experienced limb paralysis. Herein, we report a case of spinal cord infarction in a patient with myocardial infarction during VA ECMO support.

Citations

Citations to this article as recorded by  
  • In patients supported with peripheral veno-arterial extracorporeal membrane oxygenation, what factors are associated with the development of spinal cord ischaemia?
    Alison Zhu, Charis Tan, Richard Chard, Yishay Orr
    Interdisciplinary CardioVascular and Thoracic Surgery.2024;[Epub]     CrossRef
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    Frauke Johannes, Rahel Frohofer-Vollenweider, Yvonne Teuschl
    Journal of Intensive Care Medicine.2023;[Epub]     CrossRef
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    Hideya Itagaki, Kohei Suzuki, Tomoya Oizumi, Keiko Nakagawa, Yoshinobu Abe, Tomoyuki Endo
    Medicine.2022; 101(45): e31743.     CrossRef
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    Ramya Gaddikeri, Jennifer Febbo, Palmi Shah
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  • Extracorporeal membrane oxygenation-related spinal cord infarction: A case report
    Shih-Chao Chien, Li-Kuo Kuo, Shih-Chun Chien, Yu-Jang Su
    Interdisciplinary Neurosurgery.2021; 23: 101028.     CrossRef
  • Spinal Cord Infarction During Femoral Venoarterial Extracorporeal Membrane Oxygenation
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    The Annals of Thoracic Surgery.2021; 111(4): e279.     CrossRef
  • Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: an Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists—Part I, Technical Aspects of Extracorporeal Membrane Oxygenation
    Michael A. Mazzeffi, Vidya K. Rao, Jeffrey Dodd-o, Jose Mauricio Del Rio, Antonio Hernandez, Mabel Chung, Amit Bardia, Rebecca M. Bauer, Joseph S. Meltzer, Sree Satyapriya, Raymond Rector, James G. Ramsay, Jacob Gutsche
    Journal of Cardiothoracic and Vascular Anesthesia.2021; 35(12): 3496.     CrossRef
  • Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: An Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists—Part I, Technical Aspects of Extracorporeal Membrane Oxygenation
    Michael A. Mazzeffi, Vidya K. Rao, Jeffrey Dodd-o, Jose Mauricio Del Rio, Antonio Hernandez, Mabel Chung, Amit Bardia, Rebecca M. Bauer, Joseph S. Meltzer, Sree Satyapriya, Raymond Rector, James G. Ramsay, Jacob Gutsche
    Anesthesia & Analgesia.2021; 133(6): 1459.     CrossRef
  • Spinal cord infarction and peripheral extracorporeal membrane oxygenation: a case series
    Shivanand Gangahanumaiah, Michael Zhu, Robyn Summerhayes, Silvana F Marasco, Kyriakos Dimitriadis, Milenko Zoran Cankovic, Vasilios Giampatzis, Panagiotis Xaplanteris, Hibba Kurdi, Aiste Monika Jakstaite
    European Heart Journal - Case Reports.2021;[Epub]     CrossRef

ACC : Acute and Critical Care