Prevention of spinal cord injury during endovascular thoracoabdominal repair

Emanuel R. Tenorio, Matthew J. Eagleton, Jussi M. Kärkkäinen, Gustavo S. Oderich

Research output: Contribution to journalReview articlepeer-review

23 Scopus citations

Abstract

Spinal cord injury is the most devastating complication after aortic surgery. Rates of spinal cord injury vary from 0% up to 40%. Predictive factors include extent of coverage, hypogastric artery occlusion, prior aortic repair and perioperative hypotension. This article summarizes current strategies that are utilized to minimize risk of spinal cord injury including use of cerebrospinal fluid drainage, early limb reperfusion, staging and neuro-monitoring.

Original languageEnglish (US)
Pages (from-to)54-65
Number of pages12
JournalJournal of Cardiovascular Surgery
Volume60
Issue number1
DOIs
StatePublished - Feb 2019

Keywords

  • Cerebrospinal fluid leak
  • Paraplegia
  • Spinal cord injuries

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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