ArticleJTCVS techniques2021
Safety of perioperative cerebrospinal fluid drain as a protective strategy during descending and thoracoabdominal open aortic repair.
Article in JTCVS techniques, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Efficacy and safety of Cerebrospinal drains in preventing and managing spinal cord ischemia and Injury: a comprehensive systematic review and meta-analysis.Neurosurgical review · 2025Pooled it
- Safety and validity of selective cerebrospinal fluid drainage in open and endovascular aortic repair.General thoracic and cardiovascular surgery · 2025Article
- Safety of cerebrospinal fluid drainage in descending and thoracoabdominal aortic replacement surgery.Annals of cardiothoracic surgery · 2023Article
- The impact of postoperative cerebrospinal fluid drainage on neurological improvement following thoracic aortic and thoracoabdominal aortic surgery.Journal of thoracic disease · 2023Article
- Cerebrospinal Fluid Drainage for Prevention of Spinal Cord Ischemia in Thoracic Endovascular Aortic Surgery-Pros and Cons.Aorta (Stamford, Conn.) · 2022Article
- Safety of cerebrospinal fluid drainage for spinal cord ischemia prevention in thoracic endovascular aortic repair.JTCVS techniques · 2022Article
- Commentary: The aggregation of marginal gains for spinal cord protection.JTCVS techniques · 2021Article
- Commentary: Cerebrospinal fluid drainage: One component of a successful distal aortic surgery program.JTCVS techniques · 2021Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
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Abstract
objectiveWe present our experience with routine application of the cerebrospinal fluid (CSF) drain (CSFD) during open aortic repair.
methodsWe retrospectively reviewed 100 patients with descending thoracic aortic aneurysm (DTAA) or thoracoabdominal aortic aneurysm (TAAA) or who underwent CSFD insertion before open repair between 2006 and 2017. All CSFDs were inserted by the cardiovascular anesthesia team. The goal was to keep intracranial pressure <10 mm Hg during the surgical procedure by draining CSF at a rate of 20 to 30 mL/h. Postoperatively, CSFD was set to maintain the lumbar pressure <10 mm Hg to reduce the risk of postoperative paraplegia. CSFD was part of our standard cord protection regimen.
resultsThe mean patient age was 65.4 ± 11.7 years, and 60 (60%) were male. A CSFD was successfully inserted in all patients. The mean hospital length of stay was 11.9 ± 11.8 days, and hospital mortality was 6%. Postoperative transient paresis was observed in 4 patients (4%), and permanent paraplegia was seen in 2 (2%). CSFD-related complications were reported in 14 patients (14%). Complications included persistent CSF leakage and blood-tinged CSF with and without intracranial hemorrhage and spinal cutaneous fistula in 7 (7%), 9 (9%), and 1 (1%), respectively. Long-term survival was excellent (68.4% at 10 years).
conclusionsCSFD is a safe practice when applied routinely as an adjunct strategy to prevent paraplegia in surgical management of DTAA and TAAA. We feel that this contributed to good early and late clinical results.
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