McGarvey Michael L, Mullen Michael T, Woo Edward Y, Bavaria Joseph E, Augoustides Yanni G, Messé Steven R, Cheung Albert T
Department of Neurology, University of Pennsylvania, Philadelphia, PA 19104-4283, USA.
Neurocrit Care. 2007;6(1):35-9. doi: 10.1385/NCC:6:1:35.
Thoracic endovascular aortic repair (TEVAR) is a promising alternative to the traditional open surgical approach, though spinal cord ischemia remains a challenging complication. Spinal cord ischemia has been treated using lumbar cerebral spinal fluid (CSF) drainage.
We report a case of delayed spinal cord ischemia that was successfully treated with vasopressor therapy alone, supporting aggressive blood pressure augmentation as a primary intervention to increase spinal cord perfusion.
The pathophysiology of spinal cord ischemia after TEVAR is presented along with our treatment protocol.
胸主动脉腔内修复术（TEVAR）是传统开放手术方法的一种有前景的替代方案，尽管脊髓缺血仍然是一个具有挑战性的并发症。脊髓缺血一直通过腰椎脑脊液（CSF）引流进行治疗。
我们报告一例延迟性脊髓缺血病例，该病例仅通过血管升压药治疗成功治愈，这支持积极升高血压作为增加脊髓灌注的主要干预措施。
阐述了TEVAR术后脊髓缺血的病理生理学以及我们的治疗方案。
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