Cerebrospinal fluid drainage and thoracic endovascular aneurysm repair

Author:

Godet Gilles1,Bertrand Michèle2,Fléron Marie-Hélène2,Goarin Jean-Pierre2,Colson Pascal3,Cardon Alain4,Koskas Fabien5,Verhoye Jean-Philippe4,Kieffer Edouard5

Affiliation:

1. Department of Anesthesiology and Intensive Care, and Vascular Surgery Unit, Pontchaillou University Hospital, Rennes, France

2. Department of Anesthesiology and Intensive Care, and Vascular Surgery Unit, Pitié Salpétrière University Hospital, Paris, France

3. Department of Anesthesiology and Intensive Care, Arnaud de Villeneuve University Hospital, Montpellier, France

4. Department of Cardiovascular and Thoracic Surgery, Pontchaillou University Hospital, Rennes, France

5. Department of Vascular Surgery, Pitié Salpétrière University Hospital, Paris, France

Abstract

Spinal cord complications including paraplegia and partial neurologic deficits remain a frequent problem during repair of descending thoracic or thoracoabdominal aortic aneurysms. Effective prevention of this dreaded complication is of paramount importance. Among the many adjuncts that have been proposed to prevent spinal cord complications, spinal fluid drainage is one that has been used by numerous teams. The aim of this review is to answer the following question: does spinal fluid drainage afford spinal cord protection during both open and endovascular repair of thoracic or thoracoabdominal aortic aneurysms?

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,General Medicine,Surgery

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