Key result
Recent advances in the neurophysiologic assessment of descending motor pathways offer new applications for perioperative monitoring during thoracoabdominal aorta repair to prevent paraplegia.
This review discusses the etiology of paraplegia during thoracoabdominal aortic surgery and recent advances in neurophysiologic assessment for perioperative monitoring.
May support motor pathway monitoring to reduce paraplegia risk in thoracoabdominal aortic repair; leaves open prospective validation.
The repair of aneurysms and dissections that involve the thoracoabdominal aorta represent a major stress to the cardiovascular surgery team because of the feared complication of paraplegia. Here, the etiology of this complication is explained through a description of the relevant surgical anatomy and characteristics of hemodynamic support. In addition, recent advances in the neurophysiologic assessment of the descending motor pathways and their application to perioperative monitoring are discussed.
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Tod B. Sloan (2004) conducted a review in Aneurysms and dissections involving the thoracoabdominal aorta. Electrophysiologic monitoring was evaluated. Recent advances in the neurophysiologic assessment of descending motor pathways offer new applications for perioperative monitoring during thoracoabdominal aorta repair to prevent paraplegia.
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