Challenge: What happened?
Image shown under Creative Commons Attribution Share-Alike License.
Thursday, May 1, 2014
Cath Lab II
This is a continuation from Monday's case (scroll down to review).
The patient is taken emergently to the cath lab where a procedure is performed. The post-procedure chest X-ray is shown above. The patient is extubated after the procedure and brought to the PACU. The PACU nurse pages you because the patient is not moving his legs.
Challenge: What happened?
Image shown under Creative Commons Attribution Share-Alike License.
Challenge: What happened?
Image shown under Creative Commons Attribution Share-Alike License.
Subscribe to:
Post Comments (Atom)
Posts
2 comments:
Is this a Left atrial appendage occlusion device for atrial fib?? maybe it's involving the Vagus nerve??
good thoughts - i haven't seen what the atrial appendage occlusion device looks like on CXR. this is a TEVAR stent graft
-
Cath Lab II
The patient underwent a thoracic endovascular aneurysm repair (TEVAR), the percutaneous placement of a stent graft in the descending thoracic or thoracoabdominal aorta. This procedure has a 3-11% risk of spinal cord ischemia leading to paraplegia.
Source: UpToDate, Wikipedia.
Post a Comment