Sensitivity, specificity, and surgical impact of somatosensory evoked potentials in descending aorta surgery

Annals of Thoracic Surgery

Volumn 67, Issue 6, 1999, Pages 1943-1946

  Guerit, Jean Michel ^a   Witdoeckt, Catherine ^a   Verhelst, Robert ^a   Matta, Amin J ^a   Jacquet, Luc M ^a   Dion, Robert A ^a  

^a CLINIQUES UNIVERSITAIRES SAINT LUC   (Belgium)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AORTA CLAMPING; AORTA SURGERY; BLOOD PRESSURE REGULATION; CONFERENCE PAPER; DESCENDING AORTA; EVOKED SOMATOSENSORY RESPONSE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MOTONEURON; PARAPLEGIA; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; SPINAL CORD BLOOD FLOW; SPINAL CORD ISCHEMIA;

ADULT; AORTIC ANEURYSM, THORACIC; CONSTRICTION; EVOKED POTENTIALS, SOMATOSENSORY; HUMANS; ISCHEMIA; MIDDLE AGED; MONITORING, INTRAOPERATIVE; PARAPLEGIA; POSTOPERATIVE COMPLICATIONS; REGIONAL BLOOD FLOW; SENSITIVITY AND SPECIFICITY; SPINAL CORD; TREATMENT OUTCOME;

EID: 0032933328     PISSN: 00034975     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0003-4975(99)00414-2     Document Type: Conference Paper

References (12)

1. Svensson L.G. New and future approaches for spinal cord protection. Semin Thorac Cardiovasc Surg. 9:1997;206-221.
2. Laschinger J.C., Cunningham J.N., Baumann F.G., et al. Monitoring of somatosensory evoked potentials during surgical procedures on the thoraco-abdominal aorta. III. Intraoperative identification of vessels critical to spinal cord blood supply. J Thorac Cardiovasc Surg. 94:1987;271-274.
3. Guerit J.M., Verhelst R., Rubay J., et al. Multilevel somatosensory evoked potentials (SEPs) for spinal cord monitoring in descending thoracic and thoracoabdominal aortic surgery. Eur J Cardiothorac Surg. 10:1996;93-104.
4. Crawford E.S., Mizrahi E.M., Hess K.R., et al. The impact of distal aortic perfusion and somatosensory evoked potential monitoring on prevention of paraplegia after aortic aneurysm operation. J Thorac Cardiovasc Surg. 94:1988;275-285.
5. De Haan P., Kalkman C.J., de Mol B.A., et al. Efficacy of transcranial motor-evoked myogenic potentials to detect spinal cord ischemia during operations for thoracoabdominal aneurysms. J Thorac Cardiovasc Surg. 113:1997;87-101.
6. Guerit J.M., Etienne P.Y., Dion R. An explanation of the high <> rate of lower-limb SEPs in descending aorta surgery. Jones S.J., Boyd S., Hetreed M., Smith N.J. Handbook of Spinal Cord Monitoring. 1994;135-145 Kluwer Academic Publishers, Dordrecht.
7. Guerit J.M. Neuromonitoring in the operating room why, when and how to monitor? Electroencephalogr Clin Neurophysiol. 106:1998;1-21.
8. Matsui Y., Goh K., Shiiya N., 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. 107:1994;1519-1527.
9. Owen J.H., Jenny A.B., Naito M., et al. Effects of spinal cord lesioning somatosensory and neurogenic-motor evoked potentials. Spine. 14:1989;673-682.
10. Poncelet L., Michaux C., Balligand M. Motor evoked potentials induced by electrical stimulation of the spine in dogs which structures are involved? Electroencephalogr Clin Neurophysiol. 97:1995;179-183.
11. Guerit J.M., Witdoeckt C., Rubay J., et al. The usefulness of the spinal and subcortical components of the posterior tibial nerve SEPs for spinal cord monitoring during aortic coarctation repair. Electroencephalogr Clin Neurophysiol. 104:1997;115-121.
12. Griepp R.B., Ergin M.A., Galla J.D., 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. 112:1996;1202-1215.