Key result
This review integrates laboratory and clinical experience with somatosensory and motor evoked potentials to guide intraoperative management and reduce paralysis risk during thoraco-abdominal aorta surgery.
Why the study?
Does intraoperative electrophysiological monitoring reduce the risk of paraplegia in patients undergoing thoraco-abdominal aorta surgery?
Does intraoperative electrophysiological monitoring reduce the risk of paraplegia in patients undergoing thoraco-abdominal aorta surgery?
Intraoperative electrophysiological monitoring using SSEP and MEP is a valuable tool for identifying spinal cord ischemia and guiding management to prevent paraplegia during thoraco-abdominal aortic surgery.
Supports SSEP/MEP monitoring to mitigate paraplegia risk in thoracoabdominal aortic surgery; leaves open need for randomized validation.
Prevention of paraplegia during the repair of thoraco-abdominal aortic aneurysms and dissections present a substantial challenge to the operative team. The value of intraoperative electrophysiological monitoring (IOM) is to identify spinal cord ischemia that occurs during the procedure and guide the intraoperative management to reduce the risks of paralysis. The usefulness of IOM techniques requires an understanding of spinal cord blood flow and the spinal cord physiology, the surgical technique and their interaction. This paper will integrate these factors to review the laboratory and clinical experience with somatosensory evoked responses (SSEP) and motor evoked potentials (MEP) during thoraco-abdominal aorta surgery.
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Sloan et al. (2007) conducted a review in Thoraco-abdominal aortic aneurysms and dissections. Intraoperative electrophysiological monitoring (IOM) with SSEP and MEP was evaluated. This review integrates laboratory and clinical experience with somatosensory and motor evoked potentials to guide intraoperative management and reduce paralysis risk during thoraco-abdominal aorta surgery.
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