Neurological complications of surgery of the aorta;Complicaciones neurologicas de la cirugia de la arteria aorta

Revista de Neurologia

Volumn 27, Issue 159, 1998, Pages 854-861

  Carrascal, Y ^a   Guerrero, A L ^b   Maroto, L C ^a   Forteza, A P ^a   Rodriguez Hernandez J E ^a   Rufilanchas, J J ^a  

^a HOSPITAL UNIVERSITARIO 12 DE OCTUBRE   (Spain)

^b HOSPITAL RÍO CARRIÓN   (Spain)

Author keywords

Aneurysm of the aorta; Anterograde cerebral perfusion; Cerebral protection; Complete cardiac arrest; Dissection of the aorta; Retrograde cerebral perfusion; Spinal protection

Indexed keywords

AMINO ACID RECEPTOR BLOCKING AGENT; CORTICOSTEROID; SCAVENGER; NEUROPROTECTIVE AGENT;

AORTA SURGERY; BRAIN INJURY; BRAIN ISCHEMIA; BRAIN PERFUSION; CARDIOPULMONARY BYPASS; HEART ARREST; HUMAN; INDUCED HYPOTHERMIA; NEUROPROTECTION; POSTOPERATIVE COMPLICATION; REVIEW; RISK FACTOR; SHUNTING; SPINAL CORD INJURY; AORTA; AORTA ANEURYSM; CRYOANESTHESIA; DISSECTING ANEURYSM; ISCHEMIA; LIGATION; SPINE; VASCULARIZATION; WOUND DRAINAGE;

ANEURYSM, DISSECTING; AORTA; AORTIC ANEURYSM; BRAIN ISCHEMIA; CARDIOPULMONARY BYPASS; CONSTRICTION; DRAINAGE; HUMANS; HYPOTHERMIA, INDUCED; ISCHEMIA; NEUROPROTECTIVE AGENTS; POSTOPERATIVE COMPLICATIONS; RISK FACTORS; SPINE;

EID: 0032197391     PISSN: 02100010     EISSN: None     Source Type: Journal    
DOI: 10.33588/rn.27159.97384     Document Type: Review

References (89)

1. Carrascal Y, Guerrero AL, Maroto L, López Gude MJ, Rufilanchas JJ. Complicaciones neurológicas tras cirugía extracorpórea. Rev Neurol 1997; 25: 1278-84.
2. Mauney MC, Blackbourne LH, Langenburg SE, Buchanan SA, Kron IL, Tribble CG. Prevention of spinal cord injury after repair of the thoracic or thoracoabdominal aorta. Ann Thorac Surg 1995; 59: 245-52.
3. Geldmacher GS. Spinal cord vascular disease. In Bradley WG, Daroff RB, Fenichel GM, Marsden CD, eds. Neurology in clinical practice. 2 ed. Newton: Butterworth-Heinemann; 1996.
4. Acarín Tusell PN. Enfermedades vasculares de la médula espinal. En Codina Puiggrós A, ed. Tratado de Neurología. Madrid: Editorial Libro del Año; 1994.
5. Dimakakos P, Arapoglou B, Katsenis K, Vlahos L, Papadimitriou J. Ischemia of spinal cord following elective operative procedures of the infrarenal abdominal aorta. J Cardiovasc Surg 1996; 37: 243-7.
6. Salam AA, Sholkamy SM, Caikof EL. Spinal cord ischemia after abdominal aortic procedures: is previous colectomy a risk factor? J Vasc Surg 1993; 17: 1108-10.
7. Kirklin JW, Barrat-Boyes BG. Hypotermia, circulatory arrest and cardiopulmonary bypass. In Cardiac Surgery. 2 ed. New York: Churchill Livingston; 1993. p. 67-73.
8. Griepp RB, Ergin MA, Galla JD, Lansman S, Khan N, Quintana C, et al. Looking for the artery of Adamkiewicz: a quest to minimize paraplegia after operations for aneurysms of the descending thoracic and thoracoabdominal aorta. J Thorac Cardiovasc Surg 1996; 112: 1202-15.
9. Cunningham JN, Laschinger JC, Spencer FC. Monitoring of somatosensory evoked potentials during surgical procedures on the thoracoabdominal aorta. J Thorac Cardiovasc Surg 1987; 94: 275-85.
10. Coady MA, Rizzo JA, Hammmond GL, Mandapati D, Darr U, Kopf GS, Elefteriades JA. What is the appropriate size for resection of thoracic aortic aneurysms? J Thorac Cardiovasc Surg 1997; 113: 476-91.
11. Mills SE, Teja K, Crosby IK, Sturgill BC. Aortic dissection: surgical and non surgical treatment compared, an analysis of seventy-four cases at the University of Virginia. Am J Surg 1979; 137: 240.
12. Bojar RM. Cardiopulmonary bypass. In Adult Cardiac Surgery. Boston: Blackwell Scientific Publications; 1992. p. 3-36.
13. Simpson JI, Eide TR, Schiff GA, Newman SB, Clagnaz JF, Hossain I, et al. Effect of nitroglycerin on spinal cord ischemia after thoracic aortic cross-clamping. Ann Thorac Surg 1996; 61: 113-7.
14. Scheinin SA, Cooley DA. Graft replacement of the descending thoracic aorta: results of 'open' distal anastomosis. Ann Thorac Surg 1994; 58: 19-23.
15. Kazama S, Masaki Y, Maruyama S, Ishihara A. Effect of altering cerebrospinal fluid pressure on spinal cord blood flow. Ann Thorac Surg 1994; 58: 112-5.
16. Kaplan DK, Atsumi N, D'Ambra M, Vlahakes GJ. Distal circulatory support for thoracic aortic operations: effects on intracranial pressure. Ann Thorac Surg 1995; 59: 448-52.
17. Ueno T, Furukawa K, Katayama Y, Suda H, Itoh T. Spinal cord protection: development of a paraplegia-preventive solution. Ann Thorac Surg 1994; 58: 116-20.
18. Wells WJ, Prendergast TW, Berdjis F, Brandi D, Lange PE, Hetzer R, et al. Repair of coarctation of the aorta in adults: the fate of systolic hypertension. Ann Thorac Surg 1996; 61: 1168-71.
19. Galloway AC, Schwartz DS, Culliford AT, Ribakove GH, Grossi EA, Esposito RA, et al. Selective approach to descending thoracic aortic aneurysm repair a ten-year experience. Ann Thorac Surg 1996; 62: 1152-7.
20. Cernaianu AC, Olah A, Cilley JH, Gaprindashvili T, Gallucci JG, del Rossi AJ. Effect of sodium nitroprusside on paraplegia during crossclamping of the thoracic aorta. Ann Thorac Surg 1993; 56: 1035-8.
21. Gelman S. The pathophysiology of aortic cross-clamping and unclamping. Anesthesiology 1995; 82: 1026-60.
22. Crawford ES, Mizrahi EM, Hess KR, Coselli JS, Safi HJ, Patel VM. The impact of distal aortic perfusion and somatosensory evoked potential monitoring on prevention of paraplegia after aortic aneurysm operation. J Thorac Cardiovasc Surg 1988; 95: 357-67.
23. Matsui Y, Goh K, Mutrashita T, Miyama M, Ohba J, Gohda T, et al. Clinical application of evoked spinal cord potentials elicited by direct stimulation of the cord during temporary occlusion of the thoracic aorta. J Thorac Cardiovasc Surg 1994; 107: 1519-27.
24. Yamamoto N, Takano H, Kitegawa H, Kawaguchi Y, Tsuji H, Uozaki Y. Monitoring for spinal cord ischemia by use of the evoked spinal cord potentials during aortic aneurysm surgery. J Vasc Surg 1994; 20: 826-33.
25. Dapunt OE, Midulla PS, Sadegui AM, Mezrow CK, Wolfe D, Gandsas A, et al. Pathogenesis of spinal cord injury during simulated aneurysm repair in a chronic animal model. Ann Thorac Surg 1994; 58: 689-97.
26. Von Oppell UO, Dunne TT, de Groot MK, Zilla P. Traumatic aortic rupture: twenty-year metanalysis of mortality and risk of paraplegia. Ann Thorac Surg 1994; 58: 585-93.
27. Pate JW, Fabian TC, Walker WA. Acute traumatic rupture of the aortic isthmus: repair with cardiopulmonary bypass. Ann Thorac Surg 1995; 59: 90-9.
28. Nicolosi AC, Almassi GH, Bousamra M, Haasler GB, Olinger GN. Mortality and neurologic morbidity after repair of traumatic aortic disruption. Ann Thorac Surg 1996; 61: 875-8.
29. Borst HG, Jurmann M, Bühner B, Laas J. Risk of replacement of descending aorta with a standardized left heart bypass technique. J Thorac Cardiovasc Surg 1994; 107: 126-33.
30. Hayashi J, Eguchi S, Yasuda K, Komatsu S, Tabayashi K, Masuda M, et al. Operation for nondissecting aneurysm in the descending thoracic aorta. Ann Thorac Surg 1997; 63: 93-7.
31. Coselli JS, LeMaire SA, Poli D, Figueiredo L, Kirby RP. Paraplegia after thoracoabdominal aortic aneurysm repair: is dissection a risk factor? Ann Thorac Surg 1997; 63: 28-36.
32. Salzano RP, Ellison LH, Altonji PF, Richter J, Deckers PJ. Regional deep hypothermia of the spinal cord protects against ischemic injury during thoracic aortic cross-clamping. Ann Thorac Surg 1994; 57: 65-71.
33. Tabayashi K, Niibori K, Konno H, Mohri H. Protection from postischemic spinal cord injury by perfusion cooling of the epidural space. Ann Thorac Surg 1993; 56: 494-8.
34. Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Experience with 1,509 patients undergoing thoracoabdominal aortic operations. J Vasc Surg 1993; 17: 357-70.
35. Ueno T, Furukawa K, Katayama Y, Sude H, Itoh T. Spinal cord protection: development of a paraplegia-preventive solution. Ann Thorac Surg 1994; 58: 116-20.
36. Agee JM, Flanagan T, Blackbourne LH, Kron IL, Tribble CG. Reducing postischemic paraplegia using conjugated superoxide dismutase. Ann Thorac Surg 1991; 51: 911-5.
37. Gelman S. The pathophysiology of aortic cross-clamping and unclamping. Anesthesiology 1995; 82: 1026-60.
38. Qayumi AK, Janusz MT, Jamieson RE, Lyster DM. Pharmacologic interventions for prevention of spinal cord injury caused by aortic cross-clamping. J Thorac Cardiovasc Surg 1992; 104: 256-61.
39. Yamashita Ch, Nakamura H, Nishikawa Y, Yamamoto S, Okada M, Nakamura K. Retrograde cerebral perfusion with circulatory arrest in aortic arch aneurysms. Ann Thorac Surg 1992; 54: 566-8.
40. Wisselink W, Money SR, Crockett DE, Nguyen JH, Becker MO, Farr GH, et al. Ischemia-reperfusion injury of the spinal cord: protective effect of the hydroxyl radical scavenger dimethylthiourea. J Vasc Surg 1994; 20: 444-50.
41. Schittek A, Bennink BW, Cooley DA, Langford LA. Spinal cord protection with intravenous nimodipine. J Thorac Cardiovasc Surg 1992; 104: 1100-5.
42. Breckwoldt WL, Genco ChM, Connolly RJ, Cleveland RJ, Diehl JT. Spinal cord protection during aortic occlusion: efficacy of intrathecal tetracaine. Ann Thorac Surg 1991; 51: 959-63.
43. Yum SW, Faden AI. Comparison of the neuroprotective effects of the N-methyl-D-aspartate antagonist MK-801 and the opiate-receptor antagonist nalfemene in experimental spinal cord ischemia. Arch Neurol 1990; 47: 277-81.
44. Maughan RE, Mohan C, Nathan MI, Ascer E, Damiani P, Jacobowitz I, et al. Intrathecal perfusion of an oxygenated perfluorocarbon prevents paraplegia after aortic occlusion. Ann Thorac Surg 1992; 54: 818-25.
45. Del Rossi AJ, Cernaianu AC, Cilley JH Jr, Spence RK, Camishion RC, Yu Y, et al. Preventive effect of fluosol-DA for paraplegia encountered after surgical treatment of the thoracic aorta. J Thorac Cardiovasc Surg 1990; 99: 665-9.
46. Gelman S. Pathophysiology of aortic cross clamping. Anesthesiology 1995; 82: 1026-60.
47. Robertson CS, Foltz R, Grossman RG, Goodman JC. Protection against experimental ischemic spinal cord injury. J Neurosurg 1986; 64: 633-42.
48. Simpson JI, Eide TR, Schiff GA, Clagnaz JF, Hossain I, Tverskoy A, et al. Intrathecal magnesium sulfate protects the spinal cord from ischemic injury during thoracic aortic cross-clamping. Anesthesiology 1994; 81: 1493-9.
49. Giulian D, Robertson C. Inhibition of mononuclear phagocytes reduces ischemic injury in the spinal cord. Ann Neurol 1990; 27: 33-42.
50. Herold JA, Kron IL, Langenburg SE, Blackbourne LH, Tribble CG. Complete prevention of postischemic spinal cord injury by means of regional infusion with hypothermie saline and adenosine. J Thorac Cardiovasc Surg 1994; 107: 536-42.
51. Woloszyn TT, Marini CP, Coons MS, Nathan MI, Basu S, Acinapura AJ, et al. Cerebrospinal fluid drainage and steroids provide better spinal cord protection during aortic cross-clamping than does either treatment alone. Ann Thorac Surg 1990; 49: 78-83.
52. Katircioglu SF, Bayazit M, Tasdemir O, Bayazit K. Prostacyclin for spinal cord protection during aortic occlusion. Ann Thorac Surg 1996; 62: 950.
53. Hill AB, Kalman PG, Johnston KW, Vosu HA. Reversal of delayed-onset paraplegia after thoracic aortic surgery with cerebrospinal fluid drainage. J Vasc Surg 1994; 20: 315-7.
54. Simpson JI, Eide TR, Schiff GA, Newman SB, Clagnaz JF, Hossain I, et al. Effect of nitroglycerin on spinal cord ischemia after thoracic aortic cross-clamping. Ann Thorac Surg 1996; 61: 113-7.
55. Kouchoukos NT, Daily BB, Rokkas CK, Murphy SF, Bauer S, Abboud N. Hypothermic bypass and circulatory arrest for operations on the descending thoracic and thoracoabdominal aorta. Ann Thorac Surg 1995; 60: 67-77.
56. Kouchoukos NT, Wareing TH, Izumoto H, Klausing W, Abboud N. Elective hypothermic cardiopulmonary bypass and circulatory arrest for spinal cord protection during operations on the thoracoabdominal aorta. J Thorac Cardiovasc Surg 1990; 99: 659-64.
57. Cohn LH, Rizzo RJ, Adams DH, Aranki SF, Couper GS, Backel N, Collins JJ, et al. Reduced mortality and morbidity for ascending aortic aneurysm resection regardless of cause. Ann Thorac Surg 1996; 62: 463-8.
58. Nomura F, Forbess JM, Jonas RA, Hiramatsu T, Plessis AJ, Walter G, et al. Influence of age on cerebral recovery after deep hypothermic circulatory arrest in piglets. Ann Thorac Surg 1996; 62: 115-22.
59. Pate JW, Fabian TC, Walker WA. Acute traumatic rupture of the aortic isthmus: repair with cardiopulmonary by-pass. Ann Thorac Surg 1995; 59: 90-9.
60. Tsui SSL, Kirshbom PM, Davies MJ, Jacobs MT, Greeley WJ, Kern FH, et al. Nitric oxide production affects cerebral perfusion and metabolism after deep hypothermie circulatory arrest. Ann Thorac Surg 1996; 61: 1699-707.
61. Jonas RA. Deep hypothermic circulatory arrest: a need for caution. Ann Thorac Surg 1996; 61: 779-80.
62. Eke CC, Gundry SR, Baum MF, Chinnock RE, Razzouk AJ, Bailey Ll. Neurologic sequelae of deep hypothermie circulatory arrest in cardiac transplant infants. Ann Thorac Surg 1996; 61: 783-8.
63. Coselli JS, Buket S, Djukanovic B. Aortic arch operation: current treatment and results. Ann Thorac Surg 1995; 59: 19-27.
64. Ergin MA, Galla JD, Lansman SL, Quintana C, Bodian C, Griepp RB. Hypothermic circulatory arrest in operations on the thoracic aorta. J Thorac Cardiovasc Surg 1994; 107: 788-99.
65. Bachet J, Guilmet D, Goudot B, Termignon JL, Teodori G, Dreyfus G, et al. A new technique of cerebral protection during operations on the transverse aortic arch. J Thorac Cardiovasc Surg 1991; 102: 85-94.
66. Kazui T, Kimura N, Yamada O, Komatsu S. Surgical outcome of aortic arch aneurysms using selective cerebral perfusion. Ann Thorac Surg 1994; 57: 904-11.
67. Tanaka H, Kazui T, Sato H, Inoue N, Yamada O, Komatsu S. Experimental study on the optimum flow rate and pressure for selective cerebral perfusion. Ann Thorac Surg 1995; 59: 651-7.
68. Kazui T, Inoue N, Yamada O, Komatsu S. Selective cerebral perfusion during operation for aneurysms of the aortic arch: a reassessment. Ann Thorac Surg 1992; 53: 109-14.
69. Tabayashi K, Ohmi M, Togo T, Miura M, Yokohama H, Akimoto H, et al. Aortic arch aneurysm repair using selective cerebral perfusion. Ann Thorac Surg 1994; 57: 1305-10.
70. Svensson LG. Central nervous system injury after aortic operations: profltis of amending old ways. Ann Thorac Surg 1997; 63: 9-11.
71. Ye J, Yang L, del Bigio MR, Filgueiras CL, Ede M, Summers R, et al. Neuronal damage after hypothermie circulatory arrest and retrograde cerebral perfusion in the pig. Ann Thorac Surg 1996; 61: 1316-22.
72. Sakurada T, Kazui T, Tanaka H, Komatsu S. Comparative experimental study of cerebral protection during aortic arch reconstruction. Ann Thorac Surg 1996; 61: 1348-54.
73. Filgueiras CL, Ryner L, Ye J, Yang L, Ede M, Sun J, et al. Cerebral protection during moderate hypothermie circulatory arrest: histopathology and magnetic resonance spectroscopy of brain energetics and intracellular pH in pigs. J Thorac Cardiovasc Surg 1996; 112: 1073-80.
74. Sasaguri S, Yamamoto S, Hosoda Y. Time limitation of postural retrograde cerebral perfusion during cerebral hypothermie circulatory arrest. J Cardiovasc Surg 1996; 37: 125-7.
75. Takamoto S, Matsuda T, Harada M, Miyata S, Shimamura Y. Simple hypothermie retrograde cerebral perfusion during aortic arch replacement. J Thorac Cardiovasc Surg 1992; 104: 1106-9.
76. Sasaguri S, Yamamoto S, Hosoda Y. What is the safe time limit for retrograde cerebral perfusion with hypothermie circulatory arrest in aortic surgery? J Cardiovasc Surg 1996; 37: 441-4.
77. Usui A, Abe T, Murase M. Early clinical results of retrograde cerebral perfusion for aortic arch operations in Japan. Ann Thorac Surg 1996; 62: 94-104.
78. Pagano D, Boivin ChM, Faroqui MH, Bonser RS. Retrograde perfusion through the superior vena cava perfuses the brain in human beings. J Thorac Cardiovasc Surg 1996; 111: 270-2.
79. Watanabe T, Saitou H, Zhang JW, Iijima Y, Kuraoka S, Shimazaki Y. What is cerebral metabolism during retrograde perfusion? J Thorac Cardiovasc Surg 1996; 111: 490-2.
80. Pagano D, Carey JA, Patel RL, Allen SM, Tsang GMK, Hutton P, et al. Retrograde cerebral perfusion: clinical experince in emergency and elective aortic operations. Ann Thorac Surg 1995; 59: 393-7.
81. Boeckxstaens CJ, Flameng WJ. Retrograde cerebral perfusion does not perfuse the brain in nonhuman primates. Ann Thorac Surg 1995; 60: 319-28.
82. Safi HJ, Brien HW, Winter JN, Thomas AC, Maulsby RL, Doerr HK, et al. Brain protection via cerebral retrograde perfusion during aortic arch aneurysm repair. Ann Thorac Surg 1993; 56: 270-6.
83. Yasuura K, Ogawa Y, Okamoto H, Asakura T, Hoshino M, Sawazaki M, et al. Clinical application of total body retrograde perfusion to operation for aortic dissection. Ann Thorac Surg 1992; 53: 655-8.
84. Usui A, Oohara K, Liu TL, Murase M, Tanaka M, Takeuchi E, et al. Determination of optimum retrograde cerebral perfusion conditions. J Thorac Cardiovasc Surg 1994; 107: 300-8.
85. Ueda Y, Miki S. Retrograde cerebral perfusion. Ann Thorac Surg 1996; 61: 1043-4.
86. Mori A. Retrograde cerebral perfusion using pulsatile flow under conditions of profound hypothermia. Ann Thorac Surg 1993; 56: 1497-8.
87. Lin PJ, Chang CH, Tan PP, Wang CC, Chang JP, Liu DW, et al. Protection of the brain by retrograde cerebral perfusion during circulatory arrest. J Thorac Cardiovasc Surg 1994; 108: 969-74.
88. Svensson L, Crawford ES, Hess KR, Coselli JS, Raskin S, Shenaq SA, et al. Deep hypothermia with circulatory arrest. J Thorac Cardiovasc Surg 1993; 106: 19-31.
89. Greeley WJ, Kern FH, Meliones JN, Ungerleider RM. Effect of deep hypothermia and circulatory arrest on cerebral blood flow and metabolism. Ann Thorac Surg 1993; 56: 1464-6.