ReviewGeneral thoracic and cardiovascular surgery2018
Current strategies of spinal cord protection during thoracoabdominal aortic surgery.
Review in General thoracic and cardiovascular surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Hybrid Thoracoabdominal Aortic Aneurysm Repair After Prior Abdominal Aortic Aneurysm Repair: Safety and Outcomes.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- Anti-HMGB1 Antibody Therapy Ameliorates Spinal Cord Ischemia-Reperfusion Injury in Rabbits.International journal of molecular sciences · 2025Article
- Cerebral and Spinal Cord Protection Strategies in Aortic Arch Surgery.Journal of cardiovascular development and disease · 2025Review
- Impact of Intercostal Artery Reinsertion on Neurological Outcome after Thoracoabdominal Aortic Replacement: A 25-Year Single-Center Experience.Journal of clinical medicine · 2024Article
- Current approaches to spinal cord protection during open thoracoabdominal aortic aneurysm repair.Annals of cardiothoracic surgery · 2023Review
- Computational fluid dynamics simulate optimal design of segmental arteries reattachment: Influence of blood flow stagnation.JTCVS open · 2023Article
- Recovery of neurological function following type B aortic dissection complicated by paraplegia.BMJ case reports · 2022Article
- Perioperative management of patients undergoing thoracic endovascular repair.Annals of cardiothoracic surgery · 2021Review
- A practical guide for anesthetic management during intraoperative motor evoked potential monitoring.Journal of anesthesia · 2020Review
- Postoperative paraplegia after transapical transcatheter aortic valve implantation.Journal of cardiology cases · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite improved survival rates after thoracoabdominal aortic aneurysm repairs, paraplegia remains a devastating complication with high incidence, ranging from 3 to 10%. Ischemic insults to the spinal cord are unavoidable during thoracoabdominal aortic aneurysm repairs. There is no single measure that can prevent paraplegia alone. A multimodality approach is required to minimize the ischemic insults during thoracoabdominal aortic aneurysm repairs and postoperative second hit to the spinal cord. Distal aortic perfusion is important to maintain the collateral network perfusion pressure, while cerebrospinal drainage allows to directly maintain the spinal cord perfusion. Reattachment of segmental arteries T8-T12 is encouraged to lower the incidence of both immediate and delayed paraplegia. Systemic arterial pressure should be maintained above 130 mmHg and cerebrospinal drainage should be continued until the second postoperative day, despite intact neurological status. In this article, we describe our current operative techniques and perioperative management in patients undergoing repairs of thoracoabdominal aortic aneurysm. A review of recent updates on spinal protection strategies is also reported.
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Registered trials
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.