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

Reference47 articles.

1. [A case of distant transfemoral endoprosthesis of the thoracic artery using a self-fixing synthetic prosthesis in traumatic aneurysm];N L Volodos';Grudn Khir,1988

2. Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms;M D Dake;N Engl J Med,1994

3. Experience with 1509 patients undergoing thoracoabdominal aortic operations;L G Svensson;J Vasc Surg,1993

4. Open versus endovascular repair of descending thoracic aortic aneurysm disease: a systematic review and meta-analysis;A Harky;Ann Vasc Surg,2019

5. Fate of patients with spinal cord ischemia complicating thoracic endovascular aortic repair;K DeSart;J Vasc Surg,2013

Cited by 1 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Safety of cerebrospinal ﬂuid drainage in descending and thoracoabdominal aortic replacement surgery;Annals of Cardiothoracic Surgery;2023-09