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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2007 October;20(5):281-2
Spinal cord protection during descending aortic aneurysm surgery. Transient subclavian - Adamkiewicz arterial bypass
Hirata N., Amemiya A., Hatsuoka S., Ueno T.
Division of Cardiovascular Surgery Takarazuka Municipal Hospital Kohama, Takarazuka, Hyogo, Japan
In the replacement of the lower portion of the descending thoracic aorta, the unsolved enigma is postoperative paraplegia. As ischemic time becomes shorter, a greater level of protection for spinal cord ischemia is obtained.
A transient bypass from the left subclavian artery to the intercostal arteries, which was speculated to be the Adamkiewicz artery, enables a significant reduction of ischemic time of the spinal cord during replacement of the descending aortic aneurysm. Herein we introduce our new method of spinal cord protection.