Retrospective investigation of >400 patients undergoing thoracic endovascular aortic repair with or without cerebrospinal fluid drainage

被引：1

作者：

Mutter, Charlotte ^{[1
,2
]}

Benk, Julia ^{[1
,2
]}

Berger, Tim ^{[1
,2
]}

Kondov, Stoyan ^{[1
,2
]}

Chikvatia, Salome ^{[1
,2
]}

Humburger, Frank ^{[2
,3
]}

Roesslein, Martin ^{[2
,3
]}

Ulbrich, Felix ^{[2
,3
]}

Czerny, Martin ^{[1
,2
]}

Rylski, Bartosz ^{[1
,2
]}

Kreibich, Maximilian ^{[1
,2
,4
]}

机构：

[1] Univ Med Ctr Freiburg, Univ Heart Ctr Freiburg, Dept Cardiovasc Surg, Freiburg, Germany

[2] Albert Ludwigs Univ Freiburg, Fac Med, Freiburg, Germany

[3] Univ Med Ctr Freiburg, Dept Anesthesiol & Intens Care Med, Freiburg, Germany

[4] Univ Heart Ctr Freiburg, Dept Cardiovasc Surg, Hugstetter Str 55, D-79106 Freiburg, Germany

来源：

INTERDISCIPLINARY CARDIOVASCULAR AND THORACIC SURGERY | 2023年 / 37卷 / 05期

关键词：

Aortic dissection; Aortic aneurysm; Cerebrospinal fluid drainage; Thoracic endovascular aortic repair; SPINAL-CORD ISCHEMIA; CLINICAL-PRACTICE-GUIDELINES; RISK; MORTALITY; COMPLICATIONS; MANAGEMENT; DISSECTION; DISEASES; REGISTRY; SOCIETY;

D O I：

10.1093/icvts/ivad178

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

OBJECTIVES: The aim of this study was to analyse the risks and benefits of cerebrospinal fluid drainage (CSFD) placement in patients undergoing thoracic endovascular aortic repair.METHODS: Between 2009 and 2020, 411 patients underwent thoracic endovascular aortic repair in 1 institution where 236 patients (57%) received a preoperative CSFD. Patient and outcome characteristics were retrospectively analysed and compared between patients with and without preoperative CSFD placement.RESULTS: Preoperative CSFD was performed significantly more frequently in elective patients, especially those undergoing distal stent graft extension following frozen elephant trunk-stent placement (P < 0.001). Significantly fewer CSFD was placed in patients with acute aortic injury (P < 0.001). The incidence of permanent spinal cord ischaemia (SCI) was higher in patients without preoperative CSFD [10 patients (2%) vs 1 patient (0.2%), P = 0.001]. Postoperative CSFD was placed in 3 patients (0.7%). Severe CSFD-associated complications affected 2 patients (0.5%) namely, a subdural spinal haematoma causing permanent paraplegia in one of those 2 patients.CONCLUSIONS: CSFS placement is associated with low procedural risk and can potentially help to prevent SCI. However, the SCI incidence is most likely also associated with other preoperative factors including the patient's haemodynamics. Hence, a general recommendation for placing a preoperative CSFD cannot be made when relying on the present evidence.

引用

页数：8