Godet Gilles, Bertrand Michèle, Fléron Marie-Hélène, Goarin Jean-Pierre, Colson Pascal, Cardon Alain, Koskas Fabien, Verhoye Jean-Philippe, Kieffer Edouard
1 Department of Anesthesiology and Intensive Care, and Vascular Surgery Unit, 36684 Pontchaillou University Hospital, Rennes, France.
2 Department of Anesthesiology and Intensive Care, and Vascular Surgery Unit, 55577 Pitié Salpétrière University Hospital, Paris, France.
Asian Cardiovasc Thorac Ann. 2017 Nov;25(9):608-617. doi: 10.1177/0218492317739472. Epub 2017 Oct 23.
Spinal cord complications including paraplegia and partial neurologic deficits remain a frequent problem during repair of descending thoracic or thoracoabdominal aortic aneurysms. Effective prevention of this dreaded complication is of paramount importance. Among the many adjuncts that have been proposed to prevent spinal cord complications, spinal fluid drainage is one that has been used by numerous teams. The aim of this review is to answer the following question: does spinal fluid drainage afford spinal cord protection during both open and endovascular repair of thoracic or thoracoabdominal aortic aneurysms?
脊髓并发症，包括截瘫和部分神经功能缺损，仍然是降主动脉或胸腹主动脉瘤修复过程中常见的问题。有效预防这种可怕的并发症至关重要。在众多为预防脊髓并发症而提出的辅助措施中，脑脊液引流是许多团队采用的一种方法。本综述的目的是回答以下问题：在胸主动脉或胸腹主动脉瘤的开放手术和血管腔内修复过程中，脑脊液引流是否能为脊髓提供保护？
