Successful Management of Both Early and Delayed-Onset Neurological Deficit Following Extent II Thoracoabdominal Aneurysm Repair

European Journal of Vascular and Endovascular Surgery

Volumn 35, Issue 5, 2008, Pages 593-595

  Richards, J M J ^a   Hayward, I ^a   Moores, C ^b   Chalmers, R T A ^a  

^a UNIVERSITY OF EDINBURGH   (United Kingdom)

^b ROYAL INFIRMARY OF EDINBURGH   (United Kingdom)

Author keywords

CSF drainage; Paraplegia; Thoracoabdominal aneurysm

Indexed keywords

NORADRENALIN; PHENYLEPHRINE;

ABDOMINAL AORTA ANEURYSM; ADULT; AORTA DISSECTION; AORTA GRAFT; ARTICLE; BLOOD PRESSURE REGULATION; CASE REPORT; CEREBROSPINAL FLUID DRAINAGE; COMPUTER ASSISTED TOMOGRAPHY; DISEASE SEVERITY; HOSPITALIZATION; HUMAN; HYPOTENSION; MALE; MEAN ARTERIAL PRESSURE; NEUROLOGIC DISEASE; PARAPLEGIA; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; SYMPTOM;

AORTIC ANEURYSM, THORACIC; BLOOD VESSEL PROSTHESIS IMPLANTATION; CEREBROSPINAL FLUID; DRAINAGE; HUMANS; HYPOTENSION; ISCHEMIA; MALE; MIDDLE AGED; PARAPLEGIA; SPINAL CORD; TIME FACTORS;

EID: 41549104910     PISSN: 10785884     EISSN: 15322165     Source Type: Journal    
DOI: 10.1016/j.ejvs.2007.12.005     Document Type: Article

References (9)

1. Wong DR., Coselli JS., Amerman K., Bozinovski J., Carter SA., Vaughn WK., et al. Delayed spinal cord deficits after thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 83 (2007) 1345-1355 [discussion 1355]
2. Estrera A.L., Miller III CC., Huynh TT., Azizzadeh A., Porat EE., Vinnerkvist A., et al. Preoperative and operative predictors of delayed neurologic deficit following repair of thoracoabdominal aortic aneurysm. J Thorac Cardiovasc Surg 126 (2003) 1288-1294
3. Jacobs M.J., van Eps RG., de Jong DS., Schurink GW., and Mochtar B. The value of motor evoked potentials in reducing paraplegia during thoracoabdominal aneurysm repair. J Vasc Surg 43 (2006) 239-246
4. Svensson L.G., Hess K.R., Coselli J.S., and Safi H.J. Influence of segmental arteries, extent, and atriofemoral bypass on postoperative paraplegia after thoracoabdominal aortic operations. J Vasc Surg 20 (1994) 255-262
5. Safi H.J., Estrera A.L., Miller CC., Huynh TT., Porat EE., Azizzadeh A., et al. Evolution of risk for neurologic deficit after descending and thoracoabdominal aortic repair. Ann Thorac Surg 80 (2005) 2173-2179 [discussion 2179]
6. Svensson L.G. An approach to spinal cord protection during descending or thoracoabdominal aortic repairs. Ann Thorac Surg 67 (1999) 1935-1936 [discussion 1953-1958]
7. Marini C.P., Nathan I.M., Efron J., and Cohen J.R. Effect of nitroglycerin and cerebrospinal fluid drainage on spinal cord perfusion pressure and paraplegia during aortic cross-clamping. J Surg Res 70 (1997) 61-65
8. Cunningham Jr. J.N. Spinal cord ischemia. Introduction. Semin Thorac Cardiovasc Surg 10 (1998) 3-5
9. Fleck T.M., Koinig H., Moidl R., Czerny M., Hamilton C., Schifferer A., et al. Improved outcome in thoracoabdominal aortic aneurysm repair: the role of cerebrospinal fluid drainage. Neurocrit Care 2 (2005) 11-16