State-of-the-art of neuromonitoring for prevention of immediate and delayed paraplegia in thoracic and thoracoabdominal aorta surgery

Annals of Thoracic Surgery

Volumn 74, Issue 5, 2002, Pages

  Guérit, Jean Michel ^a   Dion, Robert A ^b  

^a CLINIQUES UNIVERSITAIRES SAINT LUC   (Belgium)

^b LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL AORTA; AORTA SURGERY; CONFERENCE PAPER; ELECTRONEUROLOGY; EVOKED MUSCLE RESPONSE; EVOKED SOMATOSENSORY RESPONSE; HUMAN; PARAPLEGIA; PATIENT MONITORING; POSTOPERATIVE CARE; PRIORITY JOURNAL; SPINAL CORD BLOOD FLOW; SPINAL CORD ISCHEMIA; THORACIC AORTA; THORAX SURGERY;

ALGORITHMS; AORTIC ANEURYSM, ABDOMINAL; AORTIC ANEURYSM, THORACIC; EVOKED POTENTIALS, MOTOR; EVOKED POTENTIALS, SOMATOSENSORY; HUMANS; INTRAOPERATIVE COMPLICATIONS; MONITORING, INTRAOPERATIVE; PARAPLEGIA; PATIENT CARE TEAM; PROGNOSIS; SPINAL CORD; SPINAL CORD ISCHEMIA;

EID: 0036840650     PISSN: 00034975     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0003-4975(02)04130-9     Document Type: Conference Paper

References (16)

1. Svensson LG. New and future approaches for spinal cord protection. Semin Thorac Cardiovasc Surg 1997;9:206-21.
2. Svensson LG, Hess KR, d'Agostino RS, et al. Reduction of neurologic injury after high-risk thoracoabdominal aortic operation. Ann Thorac Surg 998;66:132-8.
3. Ling E, Arellano R. Systematic overview of the evidence supporting the use of cerebrospinal fluid drainage in thoracoabdominal aneurysm surgery for prevention of paraplegia. Anesthesiology 2000;93:1115-22.
4. Weaver KD, Wiseman DB, Farber M, et al. Complication of lumbar drainage after thoracoabdominal aneurysm repair. J Vasc Surg 2001;34:623-7.
5. Astrup J, Siesjö B, Symon L. Thresholds in cerebral ischemia: The ischemic penumbra zone. Stroke 1981;12:723-5.
6. Guérit JM, Verhelst R, Rubay J, Khoury G, Matta A, Dion R. Multilevel somatosensory evoked potentials (SEPs) for spinal cord monitoring in descending thoracic and thoracoabdominal aortic surgery. Eur J Cardio-thorac Surg 1996;10:93-104.
7. Galla JD, Ergin MA, Lansman SL, et al. Use of somatosensory evoked potentials for thoracic and thoracoabdominal aortic resections. Ann Thorac Surg 1999;67:1947-52.
8. de Haan P, Kalkman CJ, de Mol BA, Ubags LH, Veldman DJ, Jacobs MJHM. Efficacy of transcranial motor-evoked myogenic potentials to detect spinal cord ischemia during operations for thoracoabdominal aneurysms. J Thorac Cardiovasc Surg 1997;113:87-101.
9. Griepp RB, Ergin MA, Galla JD, 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.
10. Kosino T, Murakami G, Morishita K, Mawatari T, Abe T. Does the Adamkiewicz artery originate from the larger segmental arteries. J Thorac Cardiovasc Surg 1999;117:898-903.
11. Kasirajan K, Dolmatch B, Ouriel K, Clair D. Delayed onset of ascending paralysis after thoracic aortic stent graft deployment. J Vasc Surg 2000;31:196-9.
12. Guérit JM, Witdoeckt C, Verhelst R, Matta A, Jacquet L, Dion R. Sensitivity, specificity, and surgical impact of somatosensory evoked potentials in descending aorta surgery. Ann Thorac Surg 1999;67:1943-6.
13. Schoenen J. Clinical anatomy of the spinal cord. Neurol Clin 1991;9:503-22.
14. Guérit JM, Witdoeckt C, Rubay J, Matta A, Dion R. 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 1997;104:115-21.
15. Burke D, Nuwer MR, Daube J, et al. Intraoperative monitoring. In: Deuschl G, Eisen A, eds. Recommendations for the Practice of Clinical Neurophysiology. Guidelines of the International Federation of Clinical Neurophysiology (EEG Suppl 52). Amsterdam: Elsevier, 1999:133-148.
16. Laschinger JC, Cunningham JN, Baumann FG, Cooper MM, Krieger KH, Spencer FC. 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 1987;94:271-4.