Key result
Identifying preoperative risk factors, utilizing intraoperative neurophysiologic monitoring, and developing treatment protocols can help mitigate or reverse neurologic injury in thoracic aortic surgery.
Why the study?
How can neurologic complications of thoracic aortic surgery be managed and mitigated?
How can neurologic complications of thoracic aortic surgery be managed and mitigated?
Identifying preoperative risk factors and utilizing intraoperative neurophysiologic monitoring can help mitigate and potentially reverse neurologic complications during thoracic aortic surgery.
May support monitoring and risk stratification in thoracic aortic surgery; leaves open need for prospective validation.
Neurologic complications of thoracic aortic surgery are strongly associated with increased morbidity and mortality. Identifying preoperative risk factors for neurologic injury may enable us to refine our perioperative approach, and to lessen or avoid these complications. Methods to identify stroke and spinal ischemia intraoperatively such as neurophysiologic monitoring may enable us to improve outcomes in these patients by immediately instituting measures to improve brain and spine perfusion. The development of both protocols and therapies to treat these complications has allowed us to mitigate and, at times, reverse neurologic injury both intraoperatively and postoperatively.
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McGarvey et al. (2007) conducted a review in Neurologic complications of thoracic aortic surgery. Management of neurologic complications was evaluated. Identifying preoperative risk factors, utilizing intraoperative neurophysiologic monitoring, and developing treatment protocols can help mitigate or reverse neurologic injury in thoracic aortic surgery.
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