Key result
Current strategies to minimize the risk of spinal cord injury during endovascular thoracoabdominal repair include cerebrospinal fluid drainage, early limb reperfusion, staging, and neuro-monitoring.
Why the study?
Spinal cord injury is a devastating complication after aortic surgery, with rates varying from 0% up to 40%.
What are the current strategies to prevent spinal cord injury in patients undergoing endovascular thoracoabdominal repair?
What are the current strategies to prevent spinal cord injury in patients undergoing endovascular thoracoabdominal repair?
This review summarizes key predictive factors and current preventive strategies, such as cerebrospinal fluid drainage and neuro-monitoring, to mitigate the risk of spinal cord injury during endovascular thoracoabdominal repair.
Multimodal strategies to reduce spinal cord injury after aortic surgery are summarized; leaves open optimal implementation and prospective validation.
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 fluiddrainage, early limb reperfusion, staging and neuro-monitoring.
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Tenorio et al. (2019) conducted a review in Spinal cord injury during endovascular thoracoabdominal repair. Strategies to minimize risk of spinal cord injury (cerebrospinal fluid drainage, early limb reperfusion, staging, neuro-monitoring) was evaluated. Current strategies to minimize the risk of spinal cord injury during endovascular thoracoabdominal repair include cerebrospinal fluid drainage, early limb reperfusion, staging, and neuro-monitoring.
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