1998
DOI: 10.1016/s0022-5223(98)70360-5
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Preliminary report on prediction of spinal cord ischemia in endovascular stent graft repair of thoracic aortic aneurysm by retrievable stent graft

Abstract: These results suggest that predeployment testing with the Retriever under evoked spinal cord potential monitoring is promising as a predictor of spinal cord ischemia in candidates for stent graft repair of thoracic aortic aneurysms.

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Cited by 95 publications
(52 citation statements)
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“…Hence, both the materials used to prepare the SGs and the procedure followed for EVR vary, and the clinical results are influenced by the institutional indications and techniques. 1,[16][17][18][19][20] Our department has been producing and using SGs that comprise stainless steel Z stents and are covered with an ultrathin-wall woven polyester fabric. The initial and midterm results for repair using these handmade SGs for thoracic and abdominal aortic diseases in high-risk patients are considered to be satisfactory.…”
Section: Discussionmentioning
confidence: 99%
“…Hence, both the materials used to prepare the SGs and the procedure followed for EVR vary, and the clinical results are influenced by the institutional indications and techniques. 1,[16][17][18][19][20] Our department has been producing and using SGs that comprise stainless steel Z stents and are covered with an ultrathin-wall woven polyester fabric. The initial and midterm results for repair using these handmade SGs for thoracic and abdominal aortic diseases in high-risk patients are considered to be satisfactory.…”
Section: Discussionmentioning
confidence: 99%
“…This is because Adamkiewicz's artery, which commonly exists between Th8 and L2, cannot be reconstructed during stent-graft placement. A temporary balloon occlusion test 16 and retrievable stent graft 17 were developed for the prediction of spinal cord ischemia. Although these methods are effective for preventing paraplegia just after stentgraft placement, they cannot predict delayed onset paraplegia.…”
Section: Discussionmentioning
confidence: 99%
“…The stent-graft was constructed from a Gianturco-Z stent (20,30 and 40 mm in diameter, and 50 and 75 mm in length) (Cook, Copenhagen, Denmark) and a woven polyester graft (0.3 mm in thickness) (Sulzer Medica, Glasgow, UK). The proximal and distal edges were attached to the stent by a series of interrupted 5-o polypropylene sutures.…”
Section: Methodsmentioning
confidence: 99%