eComment. Spinal cord protection during thoracoabdominal aneurysm repair
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چکیده
منابع مشابه
Review Articles Spinal Cord Protection During Thoracoabdominal Aneurysm Repair
one reported series, the 5-year survival rate for patients with spinal cord injury was 44%, whereas it was 62% for those without spinal cord injury.19 Postoperative spinal cord injury is caused by several factors including ischemia, reperfusion injury, and postoperative hemodynamics. Many methods of protecting the spinal cord during thoracoabdominal aneurysm repair have been devised. These incl...
متن کاملSpinal Cord Protection for Descending or Thoracoabdominal Aortic Aneurysm Repair
The mortality and morbidity of extensive thoracoabdominal aorta replacement has improved markedly in recent years [1]. However, postoperative paraplegia from spinal cord infarction remains the most devastating complication that faces patients undergoing surgery on the thoracoabdominal aorta because loss of lowerlimb function imposes severe constraints on the quality of life. Additionally, parap...
متن کاملSpinal cord protection during thoracoabdominal aortic aneurysm surgery
Introduction Postoperative paraplegia including paraparesis is a devastating complication after descending thoracic aortic aneurysm (DTAA) and thoracoabdominal aortic aneurysm (TAAA) repair surgery. This lecture will be focused on the pathophysiological mechanisms for the development of postoperative paraplegia, the strategies to prevent the development of postoperative paraplegia, and anesthet...
متن کاملEpidural cooling for spinal cord protection during thoracoabdominal aneurysm repair: A five-year experience.
PURPOSE We developed and applied a method for providing regional spinal cord hypothermia with epidural cooling (EC) during thoracoabdominal aneurysm (TAA) repair. Preliminary results indicated significant reduction in spinal cord ischemic complications (SCI), compared with historical controls, and a 5-year experience with EC was reviewed. METHODS From July 1993 to September 1998, 170 patients...
متن کاملStaged approach for spinal cord protection in hybrid thoracoabdominal aortic aneurysm repair.
At present, there are three available options for surgical thoracoabdominal aortic aneurysm (TAAA) repair: conventional open surgery, total endovascular repair, and a hybrid approach, involving conventional surgical and endovascular techniques. Each modality has a different risk/benefit profile, requiring careful patient selection. Spinal cord injury (SCI) due to compromised blood supply follow...
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ژورنال
عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery
سال: 2013
ISSN: 1569-9293,1569-9285
DOI: 10.1093/icvts/ivt507