ReviewAnnals of cardiothoracic surgery2023
Current approaches to spinal cord protection during open thoracoabdominal aortic aneurysm repair.
Review in Annals of cardiothoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Article
- A frozen prelude and an open challenge.Journal of thoracic disease · 2026Article
- Strategic perspectives on open thoracoabdominal repair following frozen elephant trunk: distal shifting, technical caveats, and the role of stepwise interventions.Journal of visualized surgery · 2026Article
- Association between False Lumen Origin of Segmental Arteries and Postoperative Spinal Cord Injury in Acute Type A Aortic Dissection.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2026Article
- The development of the Siena graft.Annals of cardiothoracic surgery · 2025Review
- The reverse frozen elephant trunk: the ThoracofloAnnals of cardiothoracic surgery · 2025Article
- Management of Persistent Postoperative Cerebrospinal Fluid Leak Following Removal of Lumbar Spinal Drain After Thoracoabdominal Aortic Aneurysm Repair.Annals of cardiac anaesthesia · 2025Article
- Anesthetic Considerations for Repair of Thoracoabdominal Aortic Aneurysms.Seminars in cardiothoracic and vascular anesthesia · 2025Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Spinal cord deficit (SCD) is a feared complication after thoracoabdominal aortic aneurysm repair. Vigilant management throughout the perioperative period is necessary to reduce the risk of SCD. Measures for preventing SCD during the intraoperative period include preoperative optimization and recognizing patients at a higher risk of SCD. In this manuscript, we discuss intraoperative adjuncts including utilization of cerebrospinal fluid drainage, left heart bypass, mild hypothermia, selective reimplantation of intercostal and lumbar arteries, and renal and visceral vessel perfusion. From the operative to the postoperative period, careful attention to avoiding hypotension and anemia is important. If SCD is recognized early, therapeutic intervention may be implemented to mitigate injury.
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