Why the study?
Do blood pressure augmentation and cerebrospinal fluid drainage reduce the impact of spinal cord ischemia in patients undergoing TEVAR?
Do blood pressure augmentation and cerebrospinal fluid drainage reduce the impact of spinal cord ischemia in patients undergoing TEVAR?
Blood pressure augmentation and cerebrospinal fluid drainage can significantly reduce the impact of spinal cord ischemia following thoracic endovascular aneurysm repair.
TEVAR effects on spinal cord perfusion leave open optimal SCI prevention strategies; prospective validation needed before practice change.
The object of this review is to examine the role of TEVAR in causing SCI. The anatomy and physiology of blood flow to the spinal cord is examined. The role of auto regulation of blood flow within the spinal cord is also examined. This review examines the reported results from the scientific literature of the effect of thoracic aortic aneurysm repair on spinal cord blood flow. In the light of the-se findings several conclusions can reasonably be reached. These conclusions are that the development of SCI can reasonably be predicted based on complexity and extent of the TEVAR procedure performed and BP augmentation and CSF drainage can significantly reduce the impact of SCI.
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R. Englund (2017) studied this question.
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