Acute Subdural Hematoma Following Thoracoabdominal Aortic Repair in a Patient with Marfan Syndrome: A Rare Complication of Cerebrospinal Fluid Drainage

Ishikawa, Noboru; Omoto, Tadashi; Oi, Masaya; Fukuzumi, Masaomi; Iizuka, Hirofumi; Kawaura, Hiromasa; Tedoriya, Takeo

doi:10.5761/atcs.cr.11.01808

Cited by 3 publications

(2 citation statements)

References 11 publications

(16 reference statements)

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“…There were reports of nonclinically significant subdural hematoma and external ventricular drain placement. However, there are a multitude of case reports 9, 14,24,25,29,33,34 in the literature citing CSFD Fig. 4.…”

Section: Discussionmentioning

confidence: 99%

The use of lumbar drains in preventing spinal cord injury following thoracoabdominal aortic aneurysm repair: an updated systematic review and meta-analysis

Khan¹,

Smalley

Nesvick

et al. 2016

SPI

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OBJECTIVE Paraplegia and paraparesis following aortic aneurysm repair occur at a substantially high rate and are often catastrophic to patients, their families, and the overall health care system. Spinal cord injury (SCI) following open thoracoabdominal aortic aneurysm (TAAA) repair is reported to be as high as 20% in historical controls. The goal of this study was to determine the impact of CSF drainage (CSFD) on SCI following TAAA repair. METHODS In August 2015 a systematic literature search was performed using clinicaltrials.gov, the Cochrane Library, PubMed/MEDLINE, and Scopus that identified 3478 articles. Of these articles, 10 met inclusion criteria. Random and fixed-effect meta-analyses were performed using both pooled and subset analyses based on study type. RESULTS The meta-analysis demonstrated that CSFD decreased SCI by nearly half (relative risk 0.42, 95% confidence interval 0.25–0.70; p = 0.0009) in the pooled analysis. This effect remained in the subgroup analysis of early SCI but did not remain significant in late SCI. CONCLUSIONS This meta-analysis showed that CSFD could be an effective strategy in preventing SCI following aortic aneurysm repair. Care should be taken to prevent complications related to overdrainage. No firm conclusions can be drawn about the newer endovascular procedures at the current time.

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Section: Discussionmentioning

confidence: 99%

The use of lumbar drains in preventing spinal cord injury following thoracoabdominal aortic aneurysm repair: an updated systematic review and meta-analysis

Khan¹,

Smalley

Nesvick

et al. 2016

SPI

View full text Add to dashboard Cite

show abstract

“…Although it is not efficient in all subjects and may result in some neurological and haemorrhagic complications it is commonly used during open surgeries for TAAA [8,9]. However, in our particular case rapid clinical and haemodynamic deterioration in the operating theatre made its application impossible.…”

Section: Discussionmentioning

confidence: 84%