Neurophysiologic Monitoring during Thoracoabdominal Aortic Aneurysm Surgery
نویسندگان
چکیده
منابع مشابه
An approach to intraoperative neurophysiologic monitoring of thoracoabdominal aneurysm surgery.
Thoracoabdominal aneurysm surgery carries an approximate 10% risk of intraoperative paraplegia. Abrupt cord ischemia and the confounding effects of systemic alterations and limb or cerebral ischemia challenges neurophysiologic spinal cord monitoring. This investigation sought a rapid differential monitoring approach to predict or help prevent paraplegia. Thirty-one patients were monitored with ...
متن کاملSurgery for thoracoabdominal aortic aneurysm
Material and methods From January 2008 till May 2013, 16 patients age 55 ± 7 years, had been treated. They were symptomatic, with mean aneurysm dimension of 10 ± 2 centimeters. One patient had Crawford type IV TAAA that was unrecognized, mistaken for tumor and biopsied following explorative laparotomy for acute abdominal pain in another hospital. Surgery was performed through thoracophrenolapar...
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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...
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45 A 72-year-old white male presented to his primary-care physician with a history of left chest pain for the past month. The pain was dull and constant, and radiated to the back, medial to the scapula. He denied new cough or worsening shortness of breath. He had no recent weight loss, and his appetite was good. He has a history of hypertension that was currently controlled medically. He had a ...
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Type IV thoracoabdominal aortic aneurysms (TAAAs) affect the aorta between the diaphragm and aortic bifurcation (Fig. 1). For technical reasons, the aneurysms affecting only the part of aorta from which visceral arteries arise are also categorized as type IV. The level of difficulty of surgical treatment for type IV TAAAs lies between that of type II, which involve descending thoracic and abdom...
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ژورنال
عنوان ژورنال: Anesthesiology
سال: 2012
ISSN: 0003-3022
DOI: 10.1097/aln.0b013e318253a04a