胸主动脉腹主动脉手术中的运动诱发电位：CON。

Motor evoked potentials in thoracoabdominal aortic surgery: CON.

机构信息

Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, One Baylor Plaza, BCM 390, Houston, TX 77030, USA.

出版信息

Cardiol Clin. 2010 May;28(2):361-8. doi: 10.1016/j.ccl.2010.01.001.

DOI:10.1016/j.ccl.2010.01.001

PMID:20452554

Abstract

Thoracoabdominal aortic aneurysms (TAAAs) have a dismal natural history that frequently necessitates surgical repair, but such repairs sometimes result in paraplegia and paraparesis. To reduce the risk of these complications, intraoperative monitoring of spinal cord motor evoked potentials (MEPs) can be used to guide TAAA repair procedures and may potentially minimize spinal cord ischemia. However, the use of MEP monitoring techniques requires important changes to anesthetic management, entails certain risks, and has important contraindications.

摘要

胸主动脉腹主动脉瘤（TAAAs）的自然病程不佳，常需要手术修复，但此类修复有时会导致截瘫和不全截瘫。为降低这些并发症的风险，可以在术中监测脊髓运动诱发电位（MEPs），以指导 TAAA 修复手术，可能最大限度地减少脊髓缺血。然而，MEP 监测技术的使用需要对麻醉管理进行重大改变，存在一定风险，并且有重要的禁忌症。