March 24, 2021JTCVS TechniquesOpen Access

Preventing spinal cord injury following thoracoabdominal aortic aneurysm repair: The battle to eliminate paraplegia

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Why the study?

Spinal cord injury resulting in paraplegia is the most feared complication of complex thoracoabdominal aortic repair.

Population

Patients undergoing thoracoabdominal aortic aneurysm repair

Design

Review

Authors

CKCenea KempUniversity of Colorado Anschutz Medical Campus ZFZihan FengUniversity of Pittsburgh MAMuhammad AftabUniversity of Okara

Discussion

Member takes

Implication

Adjunctive strategies may lower spinal cord injury risk in TAAA repair; leaves open optimal protocol validation in prospective trials.

Structured PICO

Population

Patients undergoing thoracoabdominal aortic aneurysm repair

Intervention

Multiple adjuncts including staged aortic repair, maintenance of distal perfusion intraoperatively, management of intraoperative and postoperative hypotension, neuromonitoring, reimplantation of intercostal arteries, drainage of cerebral spinal fluid, intraoperative cooling, and pharmacologic adjuncts

Outcome

Spinal cord injury (paraplegia)safety

The incidence of spinal cord injury during complex thoracoabdominal aortic aneurysm repairs can be reduced through a combination of surgical, medical, and monitoring adjuncts.

Cite This Study

Kemp et al. (2021) studied this question.

synapsesocial.com/papers/6a8a60c97f5a142c17c14404 https://doi.org/10.1016/j.xjtc.2021.01.046

View Full Paper

Ask AI

Bookmark

Preventing spinal cord injury following thoracoabdominal aortic aneurysm repair: The battle to eliminate paraplegia

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Preventing spinal cord injury following thoracoabdominal aortic aneurysm repair: The battle to eliminate paraplegia

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider