血管腔内胸腹主动脉修复术中脊髓损伤的预防
Prevention of spinal cord injury during endovascular thoracoabdominal repair.
作者信息
Tenorio Emanuel R, Eagleton Matthew J, Kärkkäinen Jussi M, Oderich Gustavo S
机构信息
Division of Vascular and Endovascular Surgery, Mayo Clinic Aortic Center and Advanced Endovascular Aortic Research Program, Rochester, MN, USA.
Division of Vascular and Endovascular Center, Massachusetts General Hospital, Boston, MA, USA.
出版信息
J Cardiovasc Surg (Torino). 2019 Feb;60(1):54-65. doi: 10.23736/S0021-9509.18.10739-7. Epub 2018 Sep 26.
Spinal cord injury is the most devastating complication after aortic surgery. Rates of spinal cord injury vary from 0% up to 40%. Predictive factors include extent of coverage, hypogastric artery occlusion, prior aortic repair and perioperative hypotension. This article summarizes current strategies that are utilized to minimize risk of spinal cord injury including use of cerebrospinal fluiddrainage, early limb reperfusion, staging and neuro-monitoring.
脊髓损伤是主动脉手术后最严重的并发症。脊髓损伤的发生率从0%到40%不等。预测因素包括覆盖范围、腹下动脉闭塞、既往主动脉修复和围手术期低血压。本文总结了目前用于将脊髓损伤风险降至最低的策略，包括使用脑脊液引流、早期肢体再灌注、分期和神经监测。
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