Bischoff Moritz S, Di Luozzo Gabriele, Griepp Eva B, Griepp Randall B
Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, NY 10029, USA.
Perspect Vasc Surg Endovasc Ther. 2011 Sep;23(3):214-22. doi: 10.1177/1531003511400622. Epub 2011 Apr 17.
Spinal cord injury (SCI) stands as one of the most dreadful complications of thoracoabdominal aneurysm repair. Despite the less invasive nature and recent technical advancements of endovascular aortic repair, SCI still remains a significant danger in endovascular approaches. However, as our understanding of the collateral network of spinal cord vasculature has grown, it has become evident that the incidence of paraplegia and paraparesis in conjunction with endovascular procedures can be minimized through the use of many of the same strategies that have proven successful in reducing SCI associated with open surgical repair. This article highlights important aspects of spinal cord protection, which have been derived from the authors' clinical and experimental experience.
脊髓损伤（SCI）是胸腹主动脉瘤修复术中最可怕的并发症之一。尽管血管内主动脉修复术具有微创性且技术不断进步，但在血管内治疗方法中，SCI仍然是一个重大风险。然而，随着我们对脊髓血管侧支网络的认识不断深入，很明显，通过采用许多已被证明在减少与开放手术修复相关的SCI方面取得成功的相同策略，可以将血管内手术中截瘫和轻瘫的发生率降至最低。本文重点介绍了脊髓保护的重要方面，这些内容源自作者的临床和实验经验。
