Strategies to prevent spinal cord ischemia in thoracoabdominal aortic aneurysm repair

J Cardiovasc Surg (Torino). 2015 Apr;56(2):281-6. Epub 2015 Jan 9.

Abstract

Spinal cord ischemia (SCI) after thoracic and thoracoabdominal aortic aneurysm repair is a devastating complication, which happens after both open and endovascular repair. Incidence of SCI varies widely in the literature. Many factors during preoperative, operative and postoperative phases influence this incidence. The purpose of this article was to provide an overview on all factors influencing SCI and to report on the evidence in the literature about how to prevent SCI.

Publication types

  • Review

MeSH terms

  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / mortality
  • Aortic Aneurysm, Thoracic / surgery*
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Blood Vessel Prosthesis Implantation / methods*
  • Blood Vessel Prosthesis Implantation / mortality
  • Endovascular Procedures / adverse effects
  • Endovascular Procedures / methods*
  • Endovascular Procedures / mortality
  • Humans
  • Predictive Value of Tests
  • Risk Assessment
  • Risk Factors
  • Spinal Cord Ischemia / diagnosis
  • Spinal Cord Ischemia / etiology
  • Spinal Cord Ischemia / mortality
  • Spinal Cord Ischemia / prevention & control*
  • Treatment Outcome