SynthesisJournal of anesthesia2016
Systematic review of motor evoked potentials monitoring during thoracic and thoracoabdominal aortic aneurysm open repair surgery: a diagnostic meta-analysis.
Synthesis in Journal of anesthesia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 52 citations in OpenAlex.
- Article
- Prevention and Management of Spinal Cord Ischemia After Aortic Surgery: An Umbrella Review.Brain sciences · 2025Review
- Cool-Shot Technique to Protect Spinal Cord during Thoracoabdominal Aortic Replacement.The Thoracic and cardiovascular surgeon · 2025Article
- Utility of motor-evoked potentials in contemporary open thoracoabdominal aortic repair.Journal of vascular surgery · 2024Article
- Article
- Updated review on the use of neuromuscular blockade during intraoperative motor-evoked potential monitoring in the modern anesthesia era.Journal of anesthesia · 2024Review
- Characteristics of motor evoked potentials in patients with peripheral vascular disease.PloS one · 2024Article
- Current approaches to spinal cord protection during open thoracoabdominal aortic aneurysm repair.Annals of cardiothoracic surgery · 2023Review
- Spinal cord protection for thoracoabdominal aortic aneurysm repair: from bench to bedside.Annals of cardiothoracic surgery · 2023Review
- Motor-evoked potentials monitoring with remimazolam during thoracic descending aortic aneurysm surgery: a case report.Journal of anesthesia · 2023Article
- Longitudinal electrophysiological changes after mesenchymal stem cell transplantation in a spinal cord injury rat model.PloS one · 2022Article
- Severe intraluminal atheroma and iliac artery access affect spinal cord ischemia after thoracic endovascular aortic repair for degenerative descending aortic aneurysm.General thoracic and cardiovascular surgery · 2021Article
- A novel bone-thinning technique for transcranial stimulation motor-evoked potentials in rats.Scientific reports · 2021Article
- Intraoperative Neurophysiology Monitoring for Spinal Dysraphism.Journal of Korean Neurosurgical Society · 2021Article
- A practical guide for anesthetic management during intraoperative motor evoked potential monitoring.Journal of anesthesia · 2020Review
- Hypogastric Artery Occlusion with Evoked Potentials Monitoring as Bailout Technique to Assess the Risk of Postoperative Spinal Cord Ischemia.Aorta (Stamford, Conn.) · 2019Article
- Intraoperative Neurophysiological Monitoring : A Review of Techniques Used for Brain Tumor Surgery in Children.Journal of Korean Neurosurgical Society · 2018Review
- Recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass.Journal of vascular surgery cases and innovative techniques · 2018Article
- In reply: MEP monitoring during aortic surgery.Journal of anesthesia · 2017Article
- MEP monitoring during aortic surgery: what we truly know.Journal of anesthesia · 2017Article
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Authors and funding
8 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Motor evoked potential (MEP) monitoring has been used to prevent neurological complications such as paraplegia in patients who underwent thoracic or thoracoabdominal aortic aneurysm (TAA/TAAA) surgery. The object of this study was making a systematic review to survey the performance of MEP monitoring during TAA/TAAA open repair surgery. We searched electronic databases for relevant studies. We summarized the diagnostic data with summary sensitivity, summary specificity and forest plots of pooled sensitivity, and conducted sub-group analysis. The quality of the studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool. We also surveyed the reporting rate of clinical key factors such as methods of anesthesia, surgery, and success rate of MEP. Nineteen studies met our criteria. The results of meta-analysis showed 89.1 % summary sensitivity (95 % confidence interval 47.9-98.6 %) and 99.3 % summary specificity (95 % confidence interval 96.1-99.9 %). Sub-group analysis of pooled sensitivity and specificity by all-or-none cut-off point were better than other cut-off points. The results of the QUADAS-2 were not good. The performance of MEP monitoring was good for detecting postoperative paraplegia in TAA/TAAA open repair surgery. The cut-off point of all-or-none may be the best, according to our review.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.