Herrera P, Monsma M, Sánchez R, Garrido E, Matoses S, Alepuz R
Servicio de Anestesiología y Reanimación, Hospital Universitario La Fe, Valencia.
Rev Esp Anestesiol Reanim. 2006 Jan;53(1):50-3.
Endovascular repair of thoracic or thoracoabdominal aortic lesions as an alternative to open surgery, to avoid the high complication and mortality rates associated with the conventional approach, does not eliminate the risk of postoperative paraplegia. We report on a series of 5 patients with different thoracic aortic lesions who underwent endovascular stent-graft repair procedures. We describe measures to drain cerebrospinal fluid to prevent ischemic spinal cord injury. We also review the anesthetic management of patients undergoing this type of surgery.
作为开腹手术的替代方案,胸段或胸腹段主动脉病变的血管内修复术可避免传统手术方法带来的高并发症和死亡率,但并不能消除术后截瘫的风险。我们报告了5例患有不同胸主动脉病变的患者,他们接受了血管内支架移植物修复手术。我们描述了引流脑脊液以预防缺血性脊髓损伤的措施。我们还回顾了接受这类手术患者的麻醉管理。