Spinal Cord Ischemia after Endovascular Repair of the Descending Thoracic Aorta in a Sheep Model

European Journal of Vascular and Endovascular Surgery

Volumn 34, Issue 4, 2007, Pages 461-469

  Bockler D ^a   Kotelis, D ^a   Kohlhof, P ^a   von Tengg Kobligk, H ^b   Mansmann, U ^c   Zink, W ^a   Horner C ^a   Ortlepp, I ^a   Habel, A ^a   Kauczor, H U ^b   Graf, B ^a   Allenberg, J R ^a  

^a UNIVERSITY OF HEIDELBERG   (Germany)

^b GERMAN CANCER RESEARCH CENTER DKFZ   (Germany)

^c UNIVERSITY OF MUNICH   (Germany)

Author keywords

Aortic surgery; Endograft; Ischemia; Paraplegia; Spinal cord

Indexed keywords

ANTIBODY; EOSIN; HEMATOXYLIN;

ANIMAL EXPERIMENT; ANIMAL MODEL; ANIMAL TISSUE; AORTA SURGERY; ARTERY CLAMP; ARTERY GRAFT; ARTICLE; CERVICAL SPINAL CORD; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONTROLLED STUDY; DESCENDING AORTA; ENDOVASCULAR SURGERY; FEASIBILITY STUDY; FEMALE; HISTOPATHOLOGY; IMMUNOHISTOCHEMISTRY; INFARCTION; KRUSKAL WALLIS TEST; LUMBAR SPINAL CORD; NEUROLOGIC DISEASE; NEUROLOGIC EXAMINATION; NONHUMAN; PARAPLEGIA; PATHOPHYSIOLOGY; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; SHEEP; SPINAL CORD BLOOD FLOW; SPINAL CORD ISCHEMIA; THORACIC AORTA; THORACIC SPINAL CORD; THORACOTOMY;

ANIMALS; AORTA, THORACIC; ARTERIES; BLOOD VESSEL PROSTHESIS IMPLANTATION; FEMALE; IMMUNOHISTOCHEMISTRY; INFARCTION; MODELS, ANIMAL; NEUROLOGIC EXAMINATION; PARAPLEGIA; RANDOM ALLOCATION; SHEEP; SPINAL CORD; SPINAL CORD ISCHEMIA; THORACOTOMY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 34548661494     PISSN: 10785884     EISSN: 15322165     Source Type: Journal    
DOI: 10.1016/j.ejvs.2007.04.030     Document Type: Article

References (52)

1. Coselli J., LeMaire S., Koksoy C., Schmittling Z., and Curling P. Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: results of a randomized clinical trial. J Vasc Surg 35 (2002) 631-639
2. Coselli J.S., and LeMaire S.A. Left heart bypasss reduces paraplegia rates after thoracoabdominal aortic aneurysms repair. Ann Thorac Surg 67 (1999) 1931-1934
3. Crawford E.S., Crawford J.L., Safi H.J., Coselli J.S., Hess K.R., Brooks B., et al. Thoracoabdominal aortic aneurysms: preoperative and intraoperative factors determining immediate and long-term results of operations in 605 patients. J Vasc Surg 3 (1986) 389-404
4. Hollier L., Money S., Naslund T., et al. Risk of spinal cord dysfunction in patients undergoing thoracoabdominal aortic replacement. Am J Surg 164 (1992) 210-214
5. Rectenwald J.E., Huber T.S., Martin T.D., Ozaki C.K., Devidas M., Welborn M.B., et al. Functional outcome after thoracoabdominal aortic aneurysm repair. J Vasc Surg 35 (2002) 640-647
6. Safi H., Miller III C., Azizzadeh A., and Iliopoulos D. Observations on delayed neurologic deficit after thoracoabdominal aortic aneurysm repair. J Vasc Surg 26 (1997) 616-622
7. Svensson L., Crawford E., Hess K., Coselli J., and Safi H. Experience with 1509 patients undergoing thoracoabdominal aortic operations. J Vasc Surg 17 (1993) 357-370
8. Chiesa R., Melissano G., Marrocco-Trischitta M.M., Civilini E., and Setacci F. Spinal cord ischemia after elective stent-graft repair of the thoracic aorta. J Vasc Surg 42 (2005) 11-17
9. Criado F., Clark N., and Barnatan M. Stent graft repair in the aortic arch and descending thoracic aorta: a 4-year experience. J Vasc Surg 36 (2002) 1121-1128
10. Dake M., Miller D., Semba C., Mitchell R., Walker P., and Liddell R. Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med 331 (1994) 1720-1734
11. Dake M., Miller D., Mitchell R., Semba C., Moore K., and Sakai T. The "first generation" of endovascular stent-grafts for patients with aneurysms of the descending thoracic aorta. J Thorac Cardiovasc Surg 116 (1998) 689-704
12. Nienaber C.A., Fattori R., Lund G., Dieckmann C., Wolf W., von Kodolitsch Y., et al. Nonsurgical reconstruction of thoracic aortic dissection by stent-graft placement. N Engl J Med 340 (1999) 1539-1545
13. Gravereaux E.C., Faries P.L., Burks J.A., Latessa V., Spielvogel D., Hollier L.H., et al. Risk of spinal cord ischemia after endograft repair of thoracic aortic aneurysms. J Vasc Surg 34 (2001) 997-1003
14. Greenberg R.K., Resch T., Nyman U., Lindh M., Brunkwall J., Brunkwall P., et al. Endovascular repair of descending thoracic aortic aneurysms: an early experience with intermediate-term follow-up. J Vasc Surg 31 (2000) 147-156
15. Greenberg R.K., Haddad F., Svensson L., O'neill S., Walker E., Lyden S.P., et al. Hybrid approaches to thoracic aortic aneurysms: the role of endovascular elephant trunk completion. Circulation 112 17 (2005 Oct 25) 2619-2626
16. Orend K., Scharrer-Pamler R., Kapfer X., Kotsis T., Gorich J., and Sunder-Plassmann L. Endovascular treatment in diseases of the descending thoracic aorta: 6-year results of a single center. J Vasc Surg 37 (2003) 91-99
17. Carroccio A., Ellozy S., Marin M.L., and Hollier L.H. Endovascular thoracic aortic aneurysm repair: proposed mechanism of paraplegia. Gefaesschirurgie 8 (2003) 564-568
18. Carroccio A., Marin M.L., Ellozy S., and Hollier L.H. Pathophysiology of paraplegia following endovascular thoracic aortic aneurysm repair. J Card Surg 18 (2003) 359-366
19. Gelman S. The pathophysiology of aortic cross-clamping and unclamping. Anaesthesiology 82 (1995) 1026-1057
20. Ishimaru S., Kawaguchi S., Koizumi N., Obitsu Y., and Ishikawa M. 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 115 (1998) 811-818
21. Wan I.Y.P., Angelini G.D., Bryan A.J., Ryder I., and Underwood M.J. Prevention of spinal cord ischaemia during descending thoracic and thoracoabdominal aortic surgery. Eur J Cardiothorac Surg 19 (2001) 203-213
22. Maharajh G.S., Pascoe E.A., Halliday W.C., Grocott H.P., Thiessen D.B., Girling L.G., et al. Neurological outcome in a porcine model of descending thoracic aortic surgery: left atrial-femoral artery bypass versus clamp/repair. Stroke 27 (1996) 2095-2101
23. Tarlov I.M. Spinal cord compression: mechanisms of paralysis and treatment (1957), Charles C Thomas, Springfield (IL) pp. 147
24. Meylaerts S., de Haan P., Kalkman C., Jaspers J., Vanicky I., and Jacobs M. Prevention of paraplegia in pigs by selective segmental artery perfusion during aortic cross-clamping. J Vasc Surg 32 (2000) 160-170
25. Yanagahira T., Brengmann J.M., and Mushynski W.E. Differential vulnerability of micro-tubule components in cerebral ischemia. Acta Neuropathol 80 5 (1990) 499-505
26. Dawson D.A., and Hallenbeck J.M. Acute focal ischemia-induced alterations in MAP2 immunostaining: description of temporal changes and utilization as a marker for volumetric assessment of acute brain injury. J Cereb Blood Flow Metab 16 1 (1996) 170-174
27. Lang-Lazdunski L., Heurteaux C., Dupont H., Widmann C., and Lazdunski M. Prevention of ischemic spinal cord injury: comparative effects of magnesium sulfate and riluzole. J Vasc Surg 32 1 (2000 Jul) 179-189
28. Safi H., Miller C., Carr C., Iliopoulos D., Dorsay D., and Baldwin J. Importance of intercostal artery reattachment during thoracoabdominal aortic aneurysm repair. J Vasc Surg 27 (1998) 58-68
29. Svensson L., Hess K., Coselli J., and Safi H. Influence of segmental arteries, extent, and atriofemoral bypass on postoperative paraplegia after thoracoabdominal aortic operations. J Vasc Surg 20 (1994) 255-262
30. Sueda T M.S., Okada K., Orihashi K., Shikata H., and Matsuura Y. Selective intercostal arterial perfusion during thoracoabdominal aortic aneurysm surgery. Ann Thorac Surg 70 (2000) 44-47
31. McCullough J., Hollier L., and Nugent M. Paraplegia after thoracic aortic occlusion: influence of cerebrospinal fluid drainage: experimental and early clinical results. J Vasc Surg 7 (1988) 153-160
32. Piano G., and Gewertz B. Mechanism of increased cerebrospinal fluid pressure with thoracic aortic occlusion. J Vasc Surg 11 (1990) 695-701
33. Miyamoto K., Ueno A., Wada T., and Kimono S. A new and simple method of preventing spinal cord damage following temporary occlusion of the thoracic aorta by draining the cerebrospinal fluid. J Card Surg 16 (1960) 188-197
34. Cambria R.P., Carter C., Brewster D.C., Chang Y., Clark K.A., and Atamian S. Epidural cooling for spinal cord protection during thoracoabdominal aneurysm repair: a five-year experience. J Vasc Surg 31 (2000) 1093-1102
35. Martelli E., Cho J.-S., Mozes G., and Gloviczki P. Epidural cooling for the prevention of ischemid injury to the spinal cord during aortic occlusion in a rabbit model: determination of the optimal temperature. J Vasc Surg 35 (2002) 547-553
36. Ohtake H., Urayama H., Katada S., Tamura M., Kawasuji M., and Watanabe Y. Prevention of spinal cord ischemia by selective intercostal arterial infusion of prostaglandin E1. J Vasc Surg 28 (1998) 301-307
37. Guerit J.M., Witdoeckt C., Verhelst R., Matta A.J., Jacquet L.M., and Dion R.A. Sensitivity, specificity and surgical impact of somatosensory evoked potentials in descending aorta surgery. Ann Thorac Surg 67 (1999) 1943-1946
38. Jacobs M.J., Meylaerts S.A., Haan de P., de Mol B.A., and Kalkman C.J. Strategies to prevent neurological deficit based on motor-evoked potentials in type I and II thoracoabdominal aortic aneurysm repair. J Vasc Surg 29 (1999) 48-59
39. Safi H.J., Hess K.R., Randel M., Iliopoulos D.C., Baldwin J.C., Mootha R.K., et al. Cerebrospinal fluid drainage and distal aortic perfusion: reducing neurological complications in repair of thoracoabdominal aortic aneurysms types II and III. J Vasc Surg 23 (1996) 223-226
40. Borst H.G., Jurmann M., Bühner B., and Laas J. Risc of replacement of descending aorta with a standardized left heart bypass technique. J Thorac Cardiovasc Surg 107 (1994) 126-133
41. Safi H.J., Bartoli S., Hess K.R., Shenaq S.S., Viets J.R., Butt G.R., et al. Neurologic deficit in patients at high risk with thoracoabdominal aortic aneurysms: the role of cerebral spinal fluid drainage and distal aortic perfusion. J Vasc Surg 20 (1994) 434-443
42. Tiesenhausen K., Amann W., Koch G., Hausegger K., Oberwalder P., and Rigler B. Cerebrospinal fluid drainage to reverse paraplegia after endovascular thoracic aortic aneurysm repair. J Endovasc Ther 7 (2000) 132-135
43. Najibi S., Terramani T.T., Weiss V.J., Macdonald M.J., Lin P.H., Redd D.C., et al. Endoluminal versus open treatment of descending thoracic aortic aneurysms. J Vasc Surg 36 (2002) 732-737
44. Svensson L.G., Von Ritter C.M., Groeneveld H.T., Rickards E.S., Hunter S.J., Robinson M.F., et al. Cross-clamping of the thoracic aorta. Influence of aortic shunts, laminectomy, papaverine, calcium channel blocker, allopurinol, and superoxide dismutase on spinal cord blood flow and paraplegia in baboons. Ann Surg 204 (1986) 38-47
45. Jacobs M., de Mol B., Elenbaas T., Mess W.H., Kalkman C.J., Schurink G.W., et al. Spinal cord blood supply in patients with thoracoabdominal aortic aneurysms. J Vasc Surg 35 (2002) 30-37
46. Svensson L., Patel V., Robinson M., Ueda T., Roehm J., and Crawford E. Influence of preservation or perfusion of intraoperatively identified spinal cord blood supply on spinal motor evoked potentials and paraplegia after aortic surgery. J Vasc Surg 13 (1991) 355-365
47. Griepp R.B., Ergin M.A., Galla J.D., 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 112 (1996 Nov) 1202-1213
48. Greenberg R., Resch T., Nyman U., Lindth M., Brunkwall J., Brunkwall P., et al. Endovascular repair of descending thoracic aortic aneurysms: an early experience with intermediate -term follow-up. J Vasc Surg 31 (2000) 147-15649
49. Azizzadeh A., Huynh T., Miller C., and Safi H. Reversal of twice-delayed neurologic deficits with cerebrospinal fluid drainage after thoracoabdominal aneurysm repair: a case report and plea for a national database collection. J Vasc Surg 31 (2000) 592-598
50. Hill A., Kalman P., Johnston K., and Vosu H. Reversal of delayed-onset paraplegia after thoracic aortic surgery with cerebrospinal fluid drainage. J Vasc Surg 20 (1994) 315-317
51. Kasirajan K., Dolmatch B., Ouriel K., and Clair D. Delayed onset of ascending paralysis after thoracic aortic stent graft deployment. J Vasc Surg 31 (2000) 196-199
52. Reid J., Mole D., Johnston L., and Lee B. Delayed paraplegia after endovascular repair of abdominal aortic aneurysm. J Vasc Surg 37 (2003) 1322-1323