Neuroprotection during aortic surgery

被引:7
作者
Lindsay, Helen [1 ]
Srinivas, Coimbatore [1 ]
Djaiani, George [1 ]
机构
[1] Univ Toronto, Toronto Gen Hosp, Univ Hlth Network, Dept Anesthesia & Pain Management, Toronto, ON, Canada
关键词
neuroprotection; aortic surgery; risk factors; neurologic injury; spinal cord injury; stroke; temporary neurological dysfunction; neuromonitoring;
D O I
10.1016/j.bpa.2016.05.002
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Neurological injury is a major limitation of aortic surgery, whether it involves spinal cord injury following intervention to the thoracoabdominal aorta, or stroke following surgery on the arch and ascending aorta. Despite an extensive body of literature and various proposals, a completely effective strategy to prevent or treat neurological injury remains elusive. In this article, we summarise the evidence for established and emerging strategies, and review current concepts in pathophysiology and risk assessment as they relate to neurological injury. (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码:283 / 303
页数:21
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