The “Safe-Line” Technique as Additional Attempt to Mitigate Spinal Cord Ischemia After Endovascular Thoracoabdominal Aneurysm Exclusion
نویسندگان
چکیده
Different methods for spinal cord ischemia (SCI) prevention with sac perfusion are reported before the completion of endovascular thoracoabdominal aortic aneurysm repair; however, today there no described techniques reperfusion in case SCI occurring after complete exclusion (48-72 hours). The “safe-line” technique allows a simple and fast (within 1 hour from symptom onset) up to 72 hours completion, modification other standard protocols prevention. eyJraWQiOiI4ZjUxYWNhY2IzYjhiNjNlNzFlYmIzYWFmYTU5NmZmYyIsImFsZyI6IlJTMjU2In0.eyJzdWIiOiJkM2MxZjE3NzU4MjViNGE0MTFmNjI4NmQ0MjU2YmE0ZCIsImtpZCI6IjhmNTFhY2FjYjNiOGI2M2U3MWViYjNhYWZhNTk2ZmZjIiwiZXhwIjoxNjg4NTQ0ODgyfQ.XVjd7NANoPdRMEerw6k-e1NlafyK9HW9GT-iH4zaJHVGEUTyoPWRp8p3L13Ad7rb7Va2sRbAuvnlLqHRXezFW7-GW0md_5qlSDta3eW64dHD8Fe4gZywK4i8yDuuAhvRvFVV6yNBe2DicLsjLMR35CS0nhzlCy_i2cLsH8wYQe8cuitLv44McFlWY0mnhhSKGa3yuSdkO86Yf7oWXWxdF_QPP_96p_40vvZX8a_Bt12T5iFipXQ4phyQ_P1-St6B-xrrlVwLU5xQ3pC8f3h_P8opprb5ymfOwX_RYPpcJXjeKGz59DPp9pV69-3UEq82K66-gOWx8MnejbnMTEJiwQ Download .mp4 (80.23 MB) Help files Safe Line Technique.mp4
منابع مشابه
Spinal cord injury after endovascular treatment for thoracoabdominal aneurysm or dissection.
OBJECTIVES Postoperative spinal cord injury (SCI) is a devastating complication of surgical repair for thoracoabdominal aortic aneurysm or dissection (TAAD), despite the complex reconstruction of inter-costal or lumbar arteries involved in the surgery. As an alternative technique, endovascular thoracoabdominal aneurysm repair (EVTAR) with visceral artery reconstruction has been accepted as a tr...
متن کاملRecurrent spinal cord ischemia after endovascular stent grafting for chronic traumatic aneurysm of the aortic isthmus.
This report describes the development of recurrent spinal cord ischemia in a patient after insertion of a stent graft into the upper segment of the descending thoracic aorta for the treatment of a chronic traumatic aneurysm of the aortic isthmus. Intraoperatively, the stent covered the ostium of the left T7 artery, which was shown to give rise to a middle dorsal artery by postoperative spinal c...
متن کاملSpinal Cord Ischemia after Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm: A Rare Complication
Neurologic deficit secondary to spinal cord ischemia after elective infrarenal, endovascular aneurysm repair (EVAR), consists a rare and rather disastrous complication. The etiology of such neurologic complication seems to be multifactorial, making this event unpredictable and foremost unpreventable. We report a case of paraparesis and bladder dysfunction that occurred immediately after the EVA...
متن کاملAn unusual case of dysphagia after endovascular exclusion of thoracoabdominal aortic aneurysm.
PURPOSE To report an unusual case of dysphagia that developed immediately after stent-grafting of a thoracoabdominal aortic aneurysm. CASE REPORT A 79-year-old woman was submitted to a staged hybrid repair of a thoracoabdominal aortic aneurysm and developed new onset dysphagia and regurgitation early after stent-grafting of the thoracic aorta. Esophageal imaging showed a marked endoluminal st...
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 کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 2023
ISSN: ['1085-875X', '0741-5214', '1097-6809']
DOI: https://doi.org/10.1016/j.jvs.2023.03.153