Spinal Cord Protection for Descending Aortic Surgery. Clinical and Scientific Basis for Contemporary Surgical Practice

Anyanwu, Ani C.; Spielvogel, David; Griepp, Randall B.

doi:10.1007/3-540-38309-3_7

Cited by 3 publications

(1 citation statement)

References 109 publications

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“…Interestingly, spinal cord injury after thoracic stent-graft placement is lower than after conventional aortic surgery. [16] Potential explanations are based in the maintenance of normotonic blood pressure during stent-graft placement as well as the lack of steal phenomena [17,18]. Furthermore, due to the limited surgical exposition, homeostasis in these physiologically frail patients is better preserved.…”

Section: Discussionmentioning

confidence: 97%

Symptomatic spinal cord malperfusion after stent-graft coverage of the entire descending aorta☆

Gottardi

Dumfarth

Holfeld

et al. 2010

European Journal of Cardio-Thoracic Surgery

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Extensive stent-graft coverage of the entire thoracic aorta can be performed with a high rate of success. If collateral blood supply to the spinal cord is maintained, occlusion of the intercostal arteries does not cause symptomatic malperfusion. However, if acute or chronic occlusion of the subclavian, lumbar or hypogastric arteries is present, likelihood of symptomatic malperfusion dramatically increases.

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Section: Discussionmentioning

confidence: 97%

Symptomatic spinal cord malperfusion after stent-graft coverage of the entire descending aorta☆

Gottardi

Dumfarth

Holfeld

et al. 2010

European Journal of Cardio-Thoracic Surgery

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Anesthesia for Endovascular Aortic Surgery

Lerner

2010

Anesthesia and Perioperative Care for Aortic Surgery

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Paraplegie na ‘frozen elephant trunk’-chirurgie: een casus

Arslan,

Yilmaz

2024

Tijdschr Geneesk

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Paraplegia after frozen elephant trunk surgery In contrast to surgery of the thoracoabdominal aorta, the complication of paraplegia due to spinal cord ischemia after a frozen elephant trunk procedure is less well-known. The aim of this case report is to carry this knowledge beyond the borders of the cardiac speciality. The deployment of the prosthesis, the induction of a circulatory arrest, perioperative hypotension, hypoxemia and reperfusion injury jeopardize the spinal blood flow. A ground understanding of the pathogenesis is a must for implementing adequate perioperative management guidelines to minimize the risk of this feared complication.

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Spinal Cord Protection for Descending Aortic Surgery. Clinical and Scientific Basis for Contemporary Surgical Practice

Cited by 3 publications

References 109 publications

Symptomatic spinal cord malperfusion after stent-graft coverage of the entire descending aorta☆

Symptomatic spinal cord malperfusion after stent-graft coverage of the entire descending aorta☆

Anesthesia for Endovascular Aortic Surgery

Paraplegie na ‘frozen elephant trunk’-chirurgie: een casus

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