Both Historical and Procedural Staging Reduce Spinal Cord Ischaemia Rates After Elective Fenestrated and Branched Endovascular Treatment of Extensive Thoraco-Abdominal Aortic Aneurysms in a Multicentre Registry

Bertoglio, Luca; Kahlberg, Andrea; Gallitto, Enrico; Fargion, Aaron; Isernia, Giacomo; Faggioli, Gianluca; Melissano, Germano; Lenti, Maurizio; Pratesi, Carlo Alberto; Gargiulo, Mauro; Chiesa, Roberto

doi:10.1016/j.ejvsvf.2021.12.084

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2022

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“…18 Spinal cord injury (SCI) prevention protocols should be carefully tailored to every single patient, bearing in mind that multiple previous endovascular interventions may increase the risk of SCI (as the consequence of an impaired collateral network) although staging may at times serve as a form of spinal cord preconditioning. 19…”

Section: Technical Considerationsmentioning

confidence: 99%

Open Thoracoabdominal Aortic Procedures following Endovascular Intervention

et al. 2022

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Open conversion of thoracoabdominal aortic (TAA) disease after failed attempts of endovascular treatment is increasingly required. The main causes are endoleak, endograft failure, infection, disease progression, or persistent false lumen perfusion in dissected aortas. Mortality and morbidity rates are high, higher than after standard TAA open repair. Therefore, this surgery should be performed only in dedicated centers by experienced teams. Specific perioperative organ protection protocols, as well as surgical techniques, are crucial to guarantee acceptable results.

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Section: Technical Considerationsmentioning

confidence: 99%