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THORACIC AND ABDOMINAL AORTA  UPDATE ON MANAGEMENT OF CAROTID, AORTIC AND PERIPHERAL ARTERIAL PATHOLOGIES 

The Journal of Cardiovascular Surgery 2015 April;56(2):281-6

Copyright © 2015 EDIZIONI MINERVA MEDICA

language: English

Strategies to prevent spinal cord ischemia in thoracoabdominal aortic aneurysm repair

Schurink G. W. 1, 2, Peppelenbosch A. G. 1, 2, Mees B. M. 1, 2, De Haan M. W. 3, Jacobs M. J. 1, 2

1 Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands; 2 European Vascular Center Aachen-Maastricht, Germany and The Netherlands; 3 Department of Radiology, Maastricht University Medical Center, Maastricht, The Netherlands


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Spinal cord ischemia (SCI) after thoracic and thoracoabdominal aortic aneurysm repair is a devastating complication, which happens after both open and endovascular repair. Incidence of SCI varies widely in the literature. Many factors during preoperative, operative and postoperative phases influence this incidence. The purpose of this article was to provide an overview on all factors influencing SCI and to report on the evidence in the literature about how to prevent SCI.

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