Electrophysiologic monitoring during surgery to repair the thoraco-abdominal aorta

Journal of Clinical Neurophysiology

Volumn 24, Issue 4, 2007, Pages 316-327

  Sloan, Tod B ^a,b   Jameson, Leslie C ^a  

^a UNIVERSITY OF COLORADO   (United States)

^b UNIVERSITY OF COLORADO   (United States)

Author keywords

Aortic aneurysm; Motor evoked potentials; Somatosensory evoked potentials; Surgery

Indexed keywords

AORTA SURGERY; CONFERENCE PAPER; ELECTROPHYSIOLOGY; EVOKED MUSCLE RESPONSE; EVOKED SOMATOSENSORY RESPONSE; HUMAN; MEDICAL LITERATURE; OUTCOME ASSESSMENT; PARALYSIS; PATIENT MONITORING; PERIOPERATIVE PERIOD; RISK FACTOR; RISK REDUCTION; SPINAL CORD BLOOD FLOW; SPINAL CORD INJURY; SPINAL CORD ISCHEMIA; STENT; THORACIC AORTA ANEURYSM;

AORTIC ANEURYSM, ABDOMINAL; AORTIC ANEURYSM, THORACIC; ELECTROPHYSIOLOGY; EVOKED POTENTIALS, MOTOR; EVOKED POTENTIALS, SOMATOSENSORY; HUMANS; INTRAOPERATIVE COMPLICATIONS; MONITORING, INTRAOPERATIVE; PARAPLEGIA; SPINAL CORD; THORACIC SURGERY;

EID: 34548459785     PISSN: 07360258     EISSN: None     Source Type: Journal    
DOI: 10.1097/WNP.0b013e31811ebc66     Document Type: Conference Paper

References (78)

1. Adams HD, Van Geertruyden HH. Neurologic complications of aortic surgery. Ann Surg 1956;144:574-610.
2. Bafort C, Astarci P, et al. Predicting spinal cord ischemia before endovascular thoracoabdominal aneurysm repair: monitoring somatosensory evoked potentials. Most J Endovasc Therapy: Official Journal of the International Society of Endovascular Specialists 2002;9:289-294.
3. Blaisdell WCD. The mechanism of paraplegia after temporary thoracic aortic occlusion and its relationship to spinal fluid pressure. Surgery 1962;51: 351-355.
4. Connolly JE. Hume Memorial lecture: prevention of spinal cord complications in aortic surgery. Am J Surg 1998;176:92-101.
5. Contreras ISB, Moreira LFP, et al. Immediate ischemic preconditioning based on somatosensory evoked potentials seems to prevent spinal cord injury following descending thoracic aorta cross-clamping. Eur J Cardio-Thorac Surg 2005;28:274-279.
6. Crawford ES, Crawford JL, et al. Thoracoabdominal aortic aneurysms: preoperative and intraoperative factors determining immediate and long-term results of operations in 605 patients. J Vasc Surg 1986;3: 389-404.
7. Crawford ES, Fenstermacher JM, et al. Reappraisal of adjuncts to avoid ischemia in the treatment of thoracic aortic aneurysms. Surgery 1970; 67:182-196.
8. Crawford ES, Mizrahi EM, et al. The impact of distal aortic perfusion and somatosensory evoked potential monitoring on prevention of paraplegia after aortic aneurysm operation. [erratum appears in J Thorac Cardiovasc Surg 1989 May;97(5):665]. J Thorac Cardiovasc Surg 1988;95: 357-367.
9. Crawford ES, Svensson LG, et al. A prospective randomized study of cerebrospinal fluid drainage to prevent paraplegia after high-risk surgery on the thoracoabdominal aorta. J Vasc Surg 13:36-45, 1991.
10. Cunningham JN, Laschinger JC Jr, et al. Measurement of spinal cord ischemia during operations upon the thoracic aorta: initial clinical experience. Ann Surg 1982;196:285-296.
11. Cunningham JN Jr, Laschinger JC, et al. Monitoring of somatosensory evoked potentials during surgical procedures on the thoracoabdominal aorta, IV: clinical observations and results. J Thorac Cardiovasc Surg 1987;94:275-285.
12. Cunningham JN, Lim KH, et al. (1998). Use of somatosensory evoked potentials to monitor spinal cord ischemia during surgery on the thoracic and thoraco-abdominal aorta. Neurophysiology and Standards of Spinal Cord Monitoring. B. R. Ducker TB. New York, Springer-Verlag: 328-340.
13. Czermak BV, Fraedrich G, et al. Endovascular repair of thoracic aortic disease: what we have learned. Curr Probl Diagn Radiol 2004;33:269-282.
14. Dawson EG, Sherman JE, et al. Spinal cord monitoring: results of the Scoliosis Research Society and the European Spinal Deformity Society survey. Spine 1991 16:S361-S364.
15. de Haan P, Kalkman CJ. Spinal cord monitoring: somatosensory- and motor-evoked potentials. Anesth Clin North Am 2001;19:923-945.
16. de Haan P, Kalkman CJ, et al. Efficacy of transcranial motor-evoked myogenic potentials to detect spinal cord ischemia during operations for thoracoabdominal aneurysms. J Thorac Cardiovasc Surg 1997;113:87-100.
17. de Haan P, Kalkman CJ, et al. Spinal cord monitoring with myogenic motor evoked potentials: early detection of spinal cord ischemia as an integral part of spinal cord protective strategies during thoracoabdominal aneurysm surgery. Semin Thorac Cardiovasc Surg 1998;10:19-24.
18. de Mol B, Hamerlijnck R, et al. Prevention of spinal cord ischemia in surgery of thoraco-abdominal aneurysms: the Bio Medicus pump, the recording of somatosensory evoked potentials and the impact on surgical strategy. Eur J Cardio-Thorac Surg 1990;4:658-664.
19. Djindjian R, Hurth M, et al. Arterial supply of the spinal cord. Angiography of the Spinal Cord. R. Djindjian. Baltimore, University Park Press: 1970: 3-13.
20. Dong CC, MacDonald DB, et al. Intraoperative spinal cord monitoring during descending thoracic and thoracoabdominal aneurysm surgery. Ann Thorac Surg 2002a;74:S1873-S1876.
21. Dong CJ, MacDonald DB, et al. Intraoperative spinal cord monitoring during descending thoracic and thoracoabdominal aneurysm surgery. Ann Thorac Surg 2002b;74:S1873-S1876.
22. Elmore JR, Gloviczki P, et al. Spinal cord injury in experimental thoracic aortic occlusion: investigation of combined methods of protection. J Vasc Surg 1992;15:789-798.
23. Elmore JR, Gloviczki P, et al. Failure of motor evoked potentials to predict neurologic outcome in experimental thoracic aortic occlusion. J Vasc Surg 1991;14:131-139.
24. Fried LC, Di Chiro G, et al. Ligation of major thoraco-lumbar spinal cord arteries in monkeys. J Neurosurg 1969;31:608-614.
25. Fuchs RJ, Lee WA, et al. Transient paraplegia after stent grafting of a descending thoracic aortic aneurysm treated with cerebrospinal fluid drainage. J Clin Anesth 2003;15:59-63.
26. Galla JD, Ergin MA, et al. Use of somatosensory evoked potentials for thoracic and thoracoabdominal aortic resections. Ann Thorac Surg 1999;67:1947-1952.
27. Gloviczki P. Surgical repair of thoracoabdominal aneurysms: patient selection, techniques and results. Cardiovasc Surg 2002;10:434-441.
28. Grabitz K, Sandmann W, et al. The risk of ischemic spinal cord injury in patients undergoing graft replacement for thoracoabdominal aortic aneurysms. J Vasc Surg 1996;23:230-240.
29. Griepp RB, Ergin MA, 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; 112:1202-1213.
30. Grossi EA, Laschinger JC, et al. Epidural-evoked potentials: a more specific indicator of spinal cord ischemia. J Surg Res 1988;44:224-228.
31. Guerit JM, Verhelst R, et al. Multilevel somatosensory evoked potentials (SEPs) for spinal cord monitoring in descending thoracic and thoracoabdominal aortic surgery. Eur J Cardio-Thorac Surg 1996;10:93-103.
32. Guerit JM, Witdoeckt C, et al. Sensitivity, specificity, and surgical impact of somatosensory evoked potentials in descending aorta surgery. Ann Thorac Surg 1999;67:1943-1946.
33. Hickey R, Sloan TB, et al. (1995). Functional organization and physiology of the spinal cord. Anesthesia for Surgery of the Spine. S. S. Porter. New York, McGraw-Hill: 15-39.
34. Ishimaru S, Kawaguchi S, et al. Preliminary report on prediction of spinal cord ischemia in endovascular stent graft repair of thoracic aortic aneurysm by retrievable stent graft. J Thorac Cardiovasc Surg 1998; 115:811-818.
35. Jacobs MJ, de Mol BA, et al. Spinal cord blood supply in patients with thoracoabdominal aortic aneurysms. J Vasc Surg 2002a;35:30-37.
36. Jacobs MJ, Elenbaas TW, et al. Assessment of spinal cord integrity during thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 2002b;74: S1864-S1866.
37. Jacobs MJ, Meylaerts SA, et al. Strategies to prevent neurologic deficit based on motor-evoked potentials in type I and II thoracoabdominal aortic aneurysm repair. J Vasc Surg 1999a;29:48-57.
38. Jacobs MJ, Meylaerts SA, et al. Assessment of spinal cord ischemia by means of evoked potential monitoring during thoracoabdominal aortic surgery. Semin Vasc Surg 2000;13:299-307.
39. Jacobs MJ, Meylaerts SA, et al. Strategies to prevent neurologic deficit based on motor-evoked potentials in type I and II thoracoabdominal aortic aneurysm repair. J Vasc Surg 1999b;29:48-57.
40. Jones TH, Morawetz RB, et al. Thresholds of focal cerebral ischemia in awake monkeys. J Neurosurg 1981;54:773-782.
41. Katz NM, Blackstone EH, et al. Incremental risk factors for spinal cord injury following operation for acute traumatic aortic transection. J Thorac Cardiovasc Surg 1981;81:669-674.
42. Kawanishi Y, Munakata H, et al. Usefulness of transcranial motor evoked potentials during thoracoabdominal aortic surgery. Ann Thorac Surg 2007;83:456-461.
43. Kobrine AI, Evans DE, et al. The effects of ischemia on long-tract neural conduction in the spinal cord. J Neurosurg 1979;50:639-644.
44. Kuniyoshi Y, Koja K, et al. Prevention of postoperative paraplegia during thoracoabdominal aortic surgery. Ann Thorac Surg 2003;76:1477-1484.
45. Laschinger JC, Cunningham JN Jr, et al. Monitoring of somatosensory evoked potentials during surgical procedures on the thoracoabdominal aorta, III: intraoperative identification of vessels critical to spinal cord blood supply. J Thorac Cardiovasc Surg 1987;94:271-274.
46. Laschinger JC, Cunningham JN Jr, et al. Detection and prevention of intraoperative spinal cord ischemia after cross-clamping of the thoracic aorta: use of somatosensory evoked potentials. Surgery 1982;92:1109-1117.
47. Laschinger JC, Cunningham JN Jr, et al. Definition of the safe lower limits of aortic resection during surgical procedures on the thoracoabdominal aorta: use of somatosensory evoked potentials. J Am Coll Cardiol 1983a;2:959-965.
48. Laschinger JC, Cunningham JN Jr, et al. Experimental and clinical assessment of the adequacy of partial bypass in maintenance of spinal cord blood flow during operations on the thoracic aorta. Ann Thorac Surg 1983b 36:417-426.
49. Lips J, de Haan P, et al. The role of transcranial motor evoked potentials in predicting neurologic and histopathologic outcome after experimental spinal cord ischemia. Anesthesiology 2002a;97:183-191.
50. Livesay JJ, Cooley DA, et al. Surgical experience in descending thoracic aneurysmectomy with and without adjuncts to avoid ischemia. Ann Thorac Surg 1985;39:37-46.
51. Lo EH, Moskowitz MA, et al. Exciting, radical, suicidal: how brain cells die after stroke. Stroke 2005;36:189-192.
52. Lopez-Neblina F, Toledo AH, et al. Molecular biology of apoptosis in ischemia and reperfusion. J Invest Surg 2005;18:335-350.
53. Machida M, Weinstein SL, et al. Dissociation of muscle action potentials and spinal somatosensory evoked potentials after ischemic damage of spinal cord. Spine 1988;13:1119-1124.
54. Machida M, Yamada T, et al. Effect of spinal cord ischemia on compound muscle action potentials and spinal evoked potentials following spinal cord stimulation in the dog. J Spinal Disord 1990;3:345-352.
55. Makkad B, Pilling S, et al. Management of thoracic aneurysm. Semin Cardiothorac Vasc Anesth 2005;9:227-240.
56. Matsui Y, Goh K, 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;107:1519-1527.
57. Meylaerts SA, Jacobs MJ, et al. Comparison of transcranial motor evoked potentials and somatosensory evoked potentials during thoracoabdominal aortic aneurysm repair. Ann Surg 1999a;230:742-749.
58. Mitchell RS, Miller DC, et al. Thoracic aortic aneurysm repair with an endovascular stent graft: the first generation. Ann Thorac Surg 1999; 67:1971-1974.
59. Nielsen VK, Kardel T. Temporospatial effects on orthodromic sensory potential propagation during ischemia. Ann Neurol 1981;9:597-604.
60. North RB, Drenger B, et al. Monitoring of spinal cord stimulation evoked potentials during thoracoabdominal aneurysm surgery. Neurosurgery 1991;28:325-330.
61. Ogino H, Sasaki H, et al. Combined use of Adamkiewicz artery demonstration and motor-evoked potentials in descending and thoracoabdominal repair. Ann Thorac Surg 2006;82:592-596.
62. Polster BM, Fiskum G, et al. Mitochondrial mechanisms of neural cell apoptosis. J Neurochem 2004;90:1281-1289.
63. Qayumi KA, Janusz MT, et al. Transcranial magnetic stimulation: use of motor evoked potentials in the evaluation of surgically induced spinal cord ischemia. J Spinal Cord Med 1997;20:395-401.
64. Reuter DG, Tacker WA Jr, et al. Correlation of motor-evoked potential response to ischemic spinal cord damage. J Thorac Cardiovasc Surg 1992;104:262-272.
65. Robertazzi RR, Cunningham JN Jr. Monitoring of somatosensory evoked potentials: a primer on the intraoperative detection of spinal cord ischemia during aortic reconstructive surgery. Semin Thorac Cardiovasc Surg 1998;10:11-17.
66. Sala F, Lanteri P, et al. Motor evoked potential monitoring for spinal cord and brain stem surgery. Adv Technical Standards Neurosurg 2004;29:133-169.
67. Schepens MA, Boezeman EH, et al. Somatosensory evoked potentials during exclusion and reperfusion of critical aortic segments in thoracoabdominal aortic aneurysm surgery. J Cardiac Surg 1994;9:692-702.
68. Scott RW, Sancetta SM. Dissecting aneurysm of aorta with hemorrhagic infarction of the spinal cord and complete paraplegia. Am Heart J. 1949;38:747-763.
69. Shokoku S, Uchida H, et al. An experimental study on spinal cord ischemia during cross-clamping of the thoracic aorta: the monitoring of spinal cord ischemia with motor evoked potential by transcranial stimulation of the cerebral cortex in dogs. Surg Today 1993;23:1068-1073.
70. Spencer FC, Zimmerman JM. The influence of ligation of intercostals arteries on paraplegia in dogs. Surg Forum 1958;9:340-342.
71. Sueda T, Okada K, et al. Evaluation of motor- and sensory-evoked potentials for spinal cord monitoring during thoracoabdominal aortic aneurysm surgery. Jpn J Thorac Cardiovasc Surg 2000;48:60-65.
72. Svensson LG. Management of segmental intercostal and lumbar arteries during descending and thoracoabdominal aneurysm repairs. Semin Thorac Cardiovasc Surg 1998;10:45-49.
73. Svensson LG, Hess KR, et al. Influence of segmental arteries, extent, and atriofemoral bypass on postoperative paraplegia after thoracoabdominal aortic operations. J Vasc Surg 1994;20:255-262.
74. Tyras DH, Willman VL. Paraplegia following intraaortic balloon assistance. Ann Thorac Surg 1978;25:164-166.
75. van Dongen EP, Schepens MA, et al. Thoracic and thoracoabdominal aortic aneurysm repair: use of evoked potential monitoring in 118 patients. J Vasc Surg 2001;34:1035-1040.
76. Wan IY, Angelini GD, et al. Prevention of spinal cord ischaemia during descending thoracic and thoracoabdominal aortic surgery. Eur J Cardio-Thorac Surg 2001;19:203-213.
77. Weigang E, Hartert M, et al. Neurophysiological monitoring during thoracoabdominal aortic endovascular stent graft implantation. Eur J Cardio-Thorac Surg 2006;29:392-396.
78. Weigang E, Hartert M, et al. Setup of neurophysiological monitoring with tcMEP/SSEP during thoracoabdominal aneurysm repair. Thorac Cardiovasc Surg 2005;53:28-32.