Improved spinal cord perfusion during thoracoabdominal aortic repair

Thoracic and Cardiovascular Surgeon

Volumn 53, Issue 2, 2005, Pages 69-73

  Weigang, Ernst ^a   Hartert, M ^a   Von Samson, P ^a   Pechstein, U ^a   Genstorfer, J ^a   Pitzer, K ^a   Zentner, J ^a   Beyersdorf, F ^a  

^a UNIVERSITY OF FREIBURG   (Germany)

Author keywords

Aortic surgery; Spinal cord perfusion; Thoracoabdominal aortic aneurysm; Transcranial motor evoked potentials (tcMEP)

Indexed keywords

ADULT; AORTA ANEURYSM; AORTA CLAMPING; AORTA SURGERY; ARTERY TRANSPLANTATION; ARTICLE; CARDIOPULMONARY BYPASS; CENTRAL VENOUS PRESSURE; CEREBROSPINAL FLUID DRAINAGE; CLINICAL ARTICLE; EARLY DIAGNOSIS; EVALUATION; EVOKED MUSCLE RESPONSE; FEMALE; HUMAN; MALE; NEUROPHYSIOLOGY; PARAPLEGIA; PRIORITY JOURNAL; SPINAL CORD; SPINAL CORD INJURY; SPINAL CORD ISCHEMIA; SURGICAL APPROACH; SURGICAL MORTALITY; THORACOABDOMINAL AORTIC REPAIR; TISSUE PERFUSION;

AORTIC ANEURYSM, ABDOMINAL; AORTIC ANEURYSM, THORACIC; ELECTRIC STIMULATION; EVOKED POTENTIALS, MOTOR; FEMALE; HUMANS; INTRAOPERATIVE COMPLICATIONS; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; MOTOR CORTEX; NEURAL CONDUCTION; PARAPLEGIA; POSTOPERATIVE COMPLICATIONS; SPINAL CORD INJURIES; SPINAL CORD ISCHEMIA;

EID: 17444420641     PISSN: 01716425     EISSN: None     Source Type: Journal    
DOI: 10.1055/s-2004-830521     Document Type: Article

References (16)

1. Carrel A. On the experimental surgery of the thoracic aorta and the heart. Ann Surg 1910; 52: 83-95
2. Svensson LG, Rickards E, Coull A, Rogers G, Fimmel CJ, Hinder RA. Relationship of spinal cord blood flow to vascular anatomy during thoracic aortic cross-clamping and shunting. J Thorac Cardiovasc Surg 1986; 91: 71-78
3. Svensson LG, Crawford ES. Aortic dissection and aortic aneurysm surgery: clinical observations, experimental investigations, and statistical analyses. Part II. Curr Probl Surg 1992; 29: 913-1057
4. Wan IY, Angelini GD, Bryan AJ, Ryder I, Underwood MJ. Prevention of spinal cord ischaemia during descending thoracic and thoracoabdominal aortic surgery. Eur J Cardiothorac Surg 2001; 19: 203-213
5. Svensson LG. New and future approaches for spinal cord protection. Semin Thorac Cardiovasc Surg 1997; 9: 206-221
6. MacDonald DB, Janusz M. An approach to intraoperative neurophysiologic monitoring of thoracoabdominal aneurysm surgery. J Clin Neurophysiol 2002; 19: 43-54
7. Estrera AL et al. Descending thoracic aortic aneurysm: surgical approach and treatment using the adjuncts cerebrospinal fluid drainage and distal aortic perfusion. Ann Thorac Surg 2001; 72: 481-486
8. Coselli JS et al. Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: results of a randomized clinical trial. J Vasc Surg 2002; 35: 631-639
9. Konrad PE, Tacker WA, Levy WJ, Reedy DP, Cook JR, Geddes LA. Motor evoked potentials in the dog: effects of global ischaemia on spinal cord and peripheral nerve signals. Neurosurgery 1987; 20: 117-124
10. Reuter DG, Tacker WA Jr, Badylak SF, Voorhees WD 3rd, Konrad PE. Correlation of motor-evoked potential response to ischemic spinal cord damage. J Thorac Cardiovasc Surg 1992; 104: 262-272
11. Lips J, de Haan P, de Jager SW, Vanicky I, Jacobs MJ, Kalkman CJ. The role of transcranial motor evoked potentials in predicting neurological and histopathological outcome after experimental spinal cord ischaemia. Anesthesiology 2002; 97: 183-191
12. Wan IY, Angelini GD, Bryan AJ, Ryder I, Underwood MJ. Prevention of spinal cord ischaemia during descending thoracic and thoracoabdominal aortic surgery. Eur J Cardiothorac Surg 2001; 19: 203-213
13. Doyle DJ. Spinal cord ischaemia and motor evoked potentials. J Clin Monit 1990; 6: 339-340
14. Coselli JS, LeMaire SA, Conklin LD, Koksoy C, Schmittling ZC. Morbidity and mortality after extent II thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 2002; 73: 1107-1115
15. LeMaire SA, Miller CC 3rd, Conklin LD, Schmittling ZC, Koksoy C, Coselli JS. A new predictive model for adverse outcomes after elective thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 2001; 71: 1233-1238
16. Estrera AL, Miller CC 3rd, Huynh TT, Porat E, Safi HJ. Neurologic outcome after thoracic and thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 2001; 72: 1225-1230; discussion 1230-1231