Spinal cord protection during thoracoabdominal aneurysm resection
نویسندگان
چکیده
منابع مشابه
Spinal 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 کاملReview 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 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 کاملNovel approaches to spinal cord protection during thoracoabdominal aortic interventions.
PURPOSE OF REVIEW Spinal cord ischemia after thoracoabdominal aortic interventions is a devastating complication because it significantly worsens the perioperative morbidity and mortality. Long-term outcome is also affected because of medical complications which are directly related to the neural deficits. Paraplegia has significant medical, social, and financial aspects. Limited mobility, the ...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 1995
ISSN: 0022-5223
DOI: 10.1016/s0022-5223(95)70209-1