Repair of the descending thoracic aorta: Impact of open distal anastomosis technique on spinal cord perfusion, neurological outcome and spinal cord histopathology

European Journal of Cardio-thoracic Surgery

Volumn 26, Issue 2, 2004, Pages 351-358

  Lang Lazdunski, Loïc ^a   Bachet, Jean ^b   Rogers, Chris ^c  

^a GUY S HOSPITAL   (United Kingdom)

^b INSTITUT MUTUALISTE MONTSOURIS   (France)

^c UNIVERSITY OF BRISTOL   (United Kingdom)

Author keywords

Open distal anastomosis; Spinal cord ischemia; Thoracic aortic surgery

Indexed keywords

MICROTUBULE ASSOCIATED PROTEIN 2;

ANASTOMOSIS; ANIMAL EXPERIMENT; ANIMAL MODEL; ANIMAL TISSUE; AORTA RECONSTRUCTION; AORTA SURGERY; ARTERIAL GAS; ARTERIAL PRESSURE; ATMOSPHERIC PRESSURE; CONFERENCE PAPER; CONTROLLED STUDY; DESCENDING AORTA; DISEASE SEVERITY; FEMORAL ARTERY; FOGARTY CATHETER; HISTOPATHOLOGY; IMMUNOHISTOCHEMISTRY; INTRAOPERATIVE PERIOD; MALE; NONHUMAN; OUTCOMES RESEARCH; PERFUSION; PH MEASUREMENT; PRIORITY JOURNAL; RAT; RAT STRAIN; RECTUM TEMPERATURE; SPINAL CORD; SPINAL CORD BLOOD FLOW; SPINAL CORD ISCHEMIA; SURGICAL DRAINAGE; SURGICAL TECHNIQUE; THORACIC AORTA; TREATMENT OUTCOME;

ANASTOMOSIS, SURGICAL; ANIMALS; AORTA, THORACIC; BLOOD PRESSURE; IMMUNOHISTOCHEMISTRY; MALE; MICROTUBULE-ASSOCIATED PROTEINS; MODELS, ANIMAL; PARAPLEGIA; RATS; RATS, SPRAGUE-DAWLEY; SPINAL CORD; SPINAL CORD ISCHEMIA; TREATMENT OUTCOME;

EID: 3543108387     PISSN: 10107940     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ejcts.2004.03.046     Document Type: Conference Paper

References (26)

1. Cambria R.P., Clouse D., Davison J.K., Dunn P.F., Corey M., Dorer D. Thoracoabdominal aneurysm repair: results with 337 operations performed over a 15-year interval. Ann Surg. 236:2002;471-479
2. Safi H.J., Miller C.C., Carr C., Iliopoulos D.C., Dorsay D.A., Baldwin J.C. Importance of intercostal artery reattachment during thoracoabdominal aortic aneurysm repair. J Vasc Surg. 27:1998;58-68
3. Coselli J.S., Conklin L.D., Le Maire S.A. Thoracoabdominal aortic aneurysm repair: review and update of current strategies. Ann Thorac Surg. 74:2002;S1881-S1884
4. Gelman S., Reves J.G., Fowler K., Samuelson P.N., Lell W.A., Smith L.R. Regional blood flow during cross-clamping of the thoracic aorta and infusion of sodium nitroprusside. J Thorac Cardiovasc Surg. 85:1983;287-291
5. Gelman S. The pathophysiology of aortic cross-clamping and unclamping. Anesthesiology. 82:1995;1026-1060
6. Jacobs M.J., Meylaerts S.A., De Haan P., De Mol B.A., Kalkman C.J. Strategies to prevent neurologic deficit based on motor-evoked potentials in type I and II thoracoabdominal aortic aneurysm repair. J Vasc Surg. 29:1999;48-59
7. Kouchoukos N.T., Rokkas C.K. Hypothermic cardiopulmonary bypass for spinal cord protection:rationale and clinical results. Ann Thorac Surg. 67:1999;1940-1942
8. Cunningham J.N., Laschinger J.C., Spencer F.C. Monitoring of somatosensory-evoked potentials during surgical procedures on the thoracoabdominal aorta. clinical observations and results. J Thorac Cardiovasc Surg. 94:1987;275-285
9. Cooley D.A., Baldwin R.T. Technique of open distal anastomosis for repair of descending thoracic aortic aneurysms. Ann Thorac Surg. 54:1992;932-936
10. Cooley D.A., Golino A., Frazier O.H. Single-clamp technique for aneurysms of the descending thoracic aorta: report of 132 consecutive cases. Eur J Cardiothorac Surg. 18:2000;162-167
11. Bonser R.S. Single-clamp technique for aneurysms of the descending thoracic aorta: report of 132 consecutive cases. Editorial comment. Eur J Cardiothorac Surg. 18:2000;166-167
12. Taira Y., Marsala M. Effect of proximal arterial perfusion pressure on function, spinal cord blood flow and histopathologic changes after increasing intervals of aortic occlusion in the rat. Stroke. 27:1996;1850-1858
13. Kanellopoulos G.K., Kato H., Hsu C.Y., Kouchoukos N.T. Spinal cord ischemic injury. Development of a new model in the rat. Stroke. 28:1997;2532-2538
14. Rexed B. The cytoarchitectonic organization of the spinal cord in the cat. J Comp Neurol. 95:1952;415-495
15. Lang-Lazdunski L., Heurteaux C., Mignon A., Mantz J., Widmann C., Desmonts J., Lazdunski M. Ischemic spinal cord injury induced by aortic cross-clamping: prevention by riluzole. Eur J Cardiothorac Surg. 18:2000;174-181
16. Coston A., Laville M., Baud P., Bussel B., Jafre M. Aortic occlusion by a balloon catheter: a method to induce hindlimb rigidity in rats. Physiol Behav. 30:1983;967-969
17. Koyanagi I., Tator C.H., Lea P.J. Three-dimensional analysis of the vascular system in the rat spinal cord with scanning electron microscopy of vascular corrosion casts. Part 1. Normal spinal cord. Neurosurgery. 33:1993;277-284
18. Scheinin S.A., Cooley D.A. Graft replacement of the descending thoracic aorta: results of open distal anastomosis. Ann Thorac Surg. 58:1994;19-23
19. Zivin J.A., de Girolami U. Spinal cord infarction: a highly reproducible model. Stroke. 11:1980;200-202
20. Blaisdell F.W., Cooley D.A. The mechanism of paraplegia after temporary thoracic aortic occlusion and its relationship to spinal fluid pressure. Surgery. 51:1962;351-355
21. Mc Cullough J.L., Hollier L.H., Nugent M. Paraplegia after thoracic aortic occlusion: influence of cerebrospinal fluid drainage. J Vasc Surg. 7:1988;153-160
22. Coselli J.S., Le Maire S.A., Koksoy C., Schmittling Z.C., Curling P.E. Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: results of a randomized clinical trial. J Vasc Surg. 35:2002;631-639
23. Mutch W.A., Thomson I.P., Teskey J.M., Thiesen D., Rosenbloom M. Phlebotomy reverses the hemodynamic consequences of thoracic aortic cross-clamping: relationships between central venous pressure and cerebrospinal fluid pressure. Anesthesiology. 74:1991;320-324
24. Lang-Lazdunski L., Matsushita K., Hirt L., Waeber C., Vonsattel J.P., Moskowitz M.A. Spinal cord ischemia. Development of a model in the mouse. Stroke. 31:2000;208-213
25. Shimoji K., Sato Y., Endoh H., Taga K., Fujiwara N., Fukuda S. Relation between spinal cord and epidural blood flow. Stroke. 18:1987;1128-1132
26. Siesjö B.K. Acidosis and ischemic brain damage. Neurochem Pathol. 9:1988;31-88