Transintercostal-Evoked Spinal Cord Potential in Thoracic Aortic Surgery

Takahashi, Shinya; Orihashi, Kazumasa; Imai, Kyoichi; Mizukami, Taketomo; Takasaki, Taiichi; Sueda, Taijiro

doi:10.1016/j.avsg.2014.04.008

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…Transesophageal MEP has been reported to provide a shorter response time in animal models [60]. Research into the possibility of stimulating and recording intercostal nerve activity has also been published [61].…”

Section: • Neuromonitoringmentioning

confidence: 99%

Risk Factors for Spinal Cord Injury during Endovascular Repair of Thoracoabdominal Aneurysm: Review of the Literature and Proposal of a Prognostic Score

Brisard,

El Batti,

Borghese

et al. 2023

JCM

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Despite recent improvements, spinal cord ischemia remains the most feared and dramatic complication following extensive aortic repair. Although endovascular procedures are associated with a lower risk compared with open procedures, this risk is still significant and must be considered. A combined medical and surgical approach may help to optimize the tolerance of the spinal cord to ischemia. The aim of this review is to describe the underlying mechanism involved in spinal cord injury during extensive endovascular aortic repair, to describe the different techniques used to improve spinal cord tolerance to ischemia—including the prophylactic or curative use of spinal drainage—and to propose our algorithm for spinal cord protection and the rational use of spinal drainage.

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Section: • Neuromonitoringmentioning

confidence: 99%

Risk Factors for Spinal Cord Injury during Endovascular Repair of Thoracoabdominal Aneurysm: Review of the Literature and Proposal of a Prognostic Score

Brisard,

El Batti,

Borghese

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…The electrical stimulus passes through the motor cortex, brain stem, spinal cord, peripheral nerve, and lower limb muscle, and MEP reflects any physiologic or structural change of any pathway. Precise analysis of spinal cord injury may require other narrow-range evoked-potential monitoring, including brain stem stimulation, lumbar epidural recording, and trans-intercostal nerve-evoked potentials [2]. Increased MEP amplitude results from various conditions, including elevating systemic or local temperature, increased arterial flow and pressure in the spinal cord supply, decreased intrathecal pressure, increased corticomotor excitability by somatosensory stimulation, and tetanic stimulation of the peripheral nerve.…”

Section: Invited Commentarymentioning

confidence: 99%