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REVIEW RECENT DEVELOPMENTS IN THE MANAGEMENT OF PARARENAL AND TAAAS
The Journal of Cardiovascular Surgery 2019 February;60(1):54-65
DOI: 10.23736/S0021-9509.18.10739-7
Copyright © 2018 EDIZIONI MINERVA MEDICA
lingua: Inglese
Prevention of spinal cord injury during endovascular thoracoabdominal repair
Emanuel R. TENORIO 1, Matthew J. EAGLETON 2, Jussi M. KÄRKKÄINEN 1, Gustavo S. ODERICH 1 ✉
1 Division of Vascular and Endovascular Surgery, Mayo Clinic Aortic Center and Advanced Endovascular Aortic Research Program, Rochester, MN, USA; 2 Division of Vascular and Endovascular Center, Massachusetts General Hospital, Boston, MA, USA
Spinal cord injury is the most devastating complication after aortic surgery. Rates of spinal cord injury vary from 0% up to 40%. Predictive factors include extent of coverage, hypogastric artery occlusion, prior aortic repair and perioperative hypotension. This article summarizes current strategies that are utilized to minimize risk of spinal cord injury including use of cerebrospinal fluiddrainage, early limb reperfusion, staging and neuro-monitoring.
KEY WORDS: Spinal cord injuries - Cerebrospinal fluid leak - Paraplegia