Prevention of spinal cord injury during endovascular thoracoabdominal repair

被引：36
作者：
Tenorio, Emanuel R. [1 ,2 ]
Eagleton, Matthew J. [3 ]
Karkkainen, Jussi M. [1 ,2 ]
Oderich, Gustavo S. [1 ,2 ]
机构：
[1] Mayo Clin, Aort Ctr, Div Vasc & Endovasc Surg, Rochester, MN USA
[2] Mayo Clin, Adv Endovasc Aort Res Program, Rochester, MN USA
[3] Massachusetts Gen Hosp, Div Vasc & Endovasc Ctr, Boston, MA 02114 USA
来源：
JOURNAL OF CARDIOVASCULAR SURGERY | 2019年 / 60卷 / 01期
关键词：
Spinal cord injuries; Cerebrospinal fluid leak; Paraplegia; AORTIC-ANEURYSM REPAIR; CEREBROSPINAL-FLUID DRAINAGE; COLLATERAL NETWORK CONCEPT; ARTERY COIL EMBOLIZATION; MOTOR-EVOKED POTENTIALS; NEUROLOGIC DEFICIT; STAGED APPROACH; EDITORS CHOICE; SAC PERFUSION; ISCHEMIA;
D O I：
10.23736/S0021-9509.18.10739-7
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Spinal cord injury is the most devastating complication after aortic surgery. Rates of spinal cord injury vary from 0% up to 40%. Predictive factors include extent of coverage, hypogastric artery occlusion, prior aortic repair and perioperative hypotension. This article summarizes current strategies that are utilized to minimize risk of spinal cord injury including use of cerebrospinal fluid drainage, early limb reperfusion, staging and neuro-monitoring.
引用
收藏
页码：54 / 65
页数：12
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