Cerebrospinal Fluid Drainage for Prevention of Spinal Cord Ischemia in Thoracic Endovascular Aortic Surgery

Cerebrospinal Fluid Drainage for Prevention of Spinal Cord Ischemia in Thoracic Endovascular Aortic Surgery—Pros and Cons

Published:2022-12 Issue:06 Volume:10 Page:290-297
ISSN:2325-4637
Container-title:AORTA
language:en
Short-container-title:Aorta (Stamford)

Author:

Ellauzi Hesham¹²^ORCID,Arora Harendra³,Elefteriades John A.¹,Zaffar Mohammad A.¹,Ellauzi Rama²⁴,Popescu Wanda M.⁵

Affiliation:

1. Aortic Institute at Yale New-Haven, Department of Cardiac Surgery, Yale University School of Medicine, New Haven, Connecticut

2. Department of Surgery, Istishari Hospital, Amman, Jordan

3. Department of Anesthesiology, University of North Carolina School of Medicine, Chapel Hill, North Carolina

4. Department of Internal Medicine, Henry Ford Hospital, Detroit, Michigan.

5. Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut

Abstract

AbstractThoracic endovascular aortic repair (TEVAR) carries a risk of spinal cord ischemia (SCI) which exerts a devastating impact on patient's quality of life and life expectancy. Although routine prophylactic cerebrospinal fluid (CSF) drainage is not unequivocally supported by current data, several studies have demonstrated favorable outcomes. Patients at high risk for SCI following TEVAR likely will benefit from prophylactic CSF drains. However, the intervention is not risk free, and thorough risk/benefit analysis should be individualized to each patient.

Publisher

Georg Thieme Verlag KG

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging,Surgery

Link

http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0042-1757792.pdf

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