Key result
The routine use of cerebrospinal fluid drainage during elective thoracoabdominal aortic aneurysm repair was associated with no immediate paraplegia and a 3.7% rate of late paraparesis, compared to a 5.4% rate of neurologic deficits in historical controls.
Observational (n=109)
No
Answers are grounded in this paper and cite their sources.
Careful surgical techniques, including cerebrospinal fluid drainage and rapid visceral revascularization, can reduce mortality and serious complications like paraplegia during thoracoabdominal aortic aneurysm repair.
The continued experience with the management of thoracoabdominal aneurysms has resulted in a decrease in the overall mortality associated with repair of these aneurysms. Careful attention to detail can lead to further decreases in the commonly recognized serious complications in these patients. It is hoped that continued experience and further experimental developments will allow performance of thoracoabdominal aneurysm repair with ever increasing safety.
No takes yet. Share an insight, caveat, or question.
Larry H. Hollier (1990) conducted an observational in Thoracoabdominal aortic aneurysm (n=109). Cerebrospinal fluid (CSF) drainage vs. No CSF drainage (historical control) was evaluated on Paraplegia or paraparesis. The routine use of cerebrospinal fluid drainage during elective thoracoabdominal aortic aneurysm repair was associated with no immediate paraplegia and a 3.7% rate of late paraparesis, compared to a 5.4% rate of neurologic deficits in historical controls.
Synapse has enriched 10 related papers. Consider them for comparative context: