Motor Evoked Potentials in Thoracoabdominal Aortic Surgery: PRO

被引:11
|
作者
Koeppel, T. A. [1 ]
Mess, W. H. [2 ]
Jacobs, M. J. [1 ,3 ]
机构
[1] Rhein Westfal TH Aachen, Dept Vasc Surg, European Vasc Ctr Aachen Maastricht, Univ Hosp, D-52074 Aachen, Germany
[2] Univ Hosp Maastricht, Dept Clin Neurophysiol, European Vasc Ctr Aachen Maastricht, NL-6202 AZ Maastricht, Netherlands
[3] Univ Hosp Maastricht, Dept Surg, European Vasc Ctr Aachen Maastricht, NL-6202 AZ Maastricht, Netherlands
关键词
Thoracoabdominal aortic aneurysm; Open surgical TAAA repair; Motor evoked potentials; Spinal cord protection; MAGNETIC-RESONANCE ANGIOGRAPHY; SPINAL-CORD PROTECTION; ANEURYSM REPAIR; NEUROLOGIC DEFICIT; ADAMKIEWICZ ARTERY; FLUID DRAINAGE; RISK-FACTORS; COMPLICATIONS;
D O I
10.1016/j.ccl.2010.01.013
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Paraplegia is one of the most severe complications of the repair of open descending thoracic aortic aneurysms and thoracoabdominal aortic aneurysms. To reduce these complications, a comprehensive strategy for spinal cord protection is mandatory. Motor evoked potentials provide the surgeon with important information about spinal cord integrity throughout the operation. Neuroprotective measures include extracorporeal circulation, cerebrospinal fluid drainage, hypothermia, and selective segmental artery revascularization.
引用
收藏
页码:351 / +
页数:11
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