Reversal of Acute Paraplegia with Cerebrospinal Fluid Drainage After Endovascular Thoracic Aortic Aneurysm Repair

Ortiz-Gómez, J.R.; González-Solis, Francisco J.; Fernández-Alonso, Leopoldo; Bilbao, J.I.

doi:10.1097/00000542-200111000-00037

Cited by 38 publications

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“…[9][10][11][12] This treatment paradigm of immediate CSF drainage and MAP augmentation was employed in our SCI patients with 4 of 5 patients recovering function. The 2 asymptomatic TAA patients in this group each had SCI risk factor of previous AAA repair.…”

Section: Discussionmentioning

confidence: 99%

Strategies to improve spinal cord ischemia in endovascular thoracic aortic repair: Outcomes of a prospective cerebrospinal fluid drainage protocol

Hnath

Mehta

Taggert

et al. 2008

Journal of Vascular Surgery

133

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Section: Discussionmentioning

confidence: 99%

Strategies to improve spinal cord ischemia in endovascular thoracic aortic repair: Outcomes of a prospective cerebrospinal fluid drainage protocol

Hnath

Mehta

Taggert

et al. 2008

Journal of Vascular Surgery

133

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“…There have been numerous methods used to reduce the incidence and duration of paraplegia. After reports of the efficacy of CSF drainage in reversing paraplegia, in high‐risk patients it is now routine to drain the CSF for 48 h postoperatively through a subarachnoid catheter 37–39 . CSF drainage is also used in an attempt to rescue patients with delayed onset paraplegia.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Grafting of the Thoracic Aorta, an Evolving Therapy: Ten‐year Experience in a Single Centre

Sandroussi¹,

Waltham²,

Hughes³

et al. 2007

ANZ Journal of Surgery

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“…Risk factors for this dreaded complication include peri-procedural hypotension, previous or concomitant aortic abdominal aneurysm (AAA) repair and extending endograft coverage of the descending aorta. Some reports demonstrated that cerebro spinal fluid drainage prevent spinal cord ischemia during thoracic AAA open repair [19] and during TEVAR [20, 21]. According with these reports, we maintained cerebro spinal fluid drainage intra-operativley and 2-3 days post-operatively in all patient at risk.…”

Section: Discussionmentioning

confidence: 82%

Anomalies and Variant Anatomy of the Aorta and the Supra- aortic Vessels

Setacci

Sirignano

Donato

et al. 2011

Thoraco-Abdominal Aorta

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IntroductionEndovascular or hybrid approach to the aortic arch aneurysms is nowadays an appealing solution for selected patients. Aim of this retrospective study is to evaluate the technical and clinical success recorded in complex anatomical settings of endografting.MethodsBetween December 2004 and December 2008, 73 patients were treated with a stent-graft for thoracic aorta aneurysms at our Vascular and Endovascular Surgery center, or in other Italian Centers by our Vascular Surgeon as Proctor. The aortic arch was involved in 31 cases. Four cases of bovine arch, three aberrant right subclavian artery and one case of isolated origin of all the supra-aortic trunks (6 vessels) were recorded. Technical success, procedural planning time and procedural time, stroke and paraplegia incidences were analyzed in terms of difference between “normal” or “complex” arches.ResultsTechnical success was achieved in all cases. Complex anatomy of the arch and the supra-aortic trunks increased the technical difficulty of endovascular exclusion of the aneurysm and required more often complex debranching of the supra-aortic vessel necessary to obtain an adequate landing zone and to preserve the brain and spinal cord perfusion. We observed one stroke in complex arches procedures and two strokes (one of them fatal) in normal arch procedures. No cases of paraplegia were observed.ConclusionsIn our experience complex anatomy of the arch did not represent a predictive factor in term of peri-procedural major neurological adverse events.

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Reversal of Acute Paraplegia with Cerebrospinal Fluid Drainage After Endovascular Thoracic Aortic Aneurysm Repair

Cited by 38 publications

References 0 publications

Strategies to improve spinal cord ischemia in endovascular thoracic aortic repair: Outcomes of a prospective cerebrospinal fluid drainage protocol

Strategies to improve spinal cord ischemia in endovascular thoracic aortic repair: Outcomes of a prospective cerebrospinal fluid drainage protocol

Endovascular Grafting of the Thoracic Aorta, an Evolving Therapy: Ten‐year Experience in a Single Centre

Anomalies and Variant Anatomy of the Aorta and the Supra- aortic Vessels

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