带冷冻象鼻支架的杂交全弓修复术后脊髓缺血的救治：一例报告
Spinal Cord Ischemia Rescue after Hybrid Total Arch Repair with Frozen Elephant Trunk: A Case Report.
作者信息
Leung Alexander D, Bartline Peter B, Acher Charles W, Yamanouchi Dai
机构信息
Division of Vascular Surgery, Department of Surgery, University of Wisconsin, Madison, WI, USA.
Division of Vascular Surgery, Department of Surgery, University of Wisconsin, Madison, WI, USA.
出版信息
Ann Vasc Surg. 2020 Jul;66:669.e5-669.e9. doi: 10.1016/j.avsg.2020.01.085. Epub 2020 Feb 4.
Frozen elephant trunk repair is a technique described to simplify total arch repair for Stanford type A aortic dissection. Spinal cord ischemia is a devastating complication after frozen elephant trunk repair. In this report, we describe a case of spinal cord ischemia resulting in paralysis after frozen elephant trunk repair. Our spinal cord ischemia protocol was implemented and rescued patients from paraplegia. We report a dedicated spinal cord ischemia protocol that can rescue patients from paraplegia after hybrid arch repair with frozen elephant trunk.
冷冻象鼻修复术是一种为简化斯坦福A型主动脉夹层全弓修复而描述的技术。脊髓缺血是冷冻象鼻修复术后一种严重的并发症。在本报告中，我们描述了一例冷冻象鼻修复术后发生脊髓缺血导致瘫痪的病例。我们实施了脊髓缺血方案，使患者免于截瘫。我们报告了一种专门的脊髓缺血方案，该方案可使采用冷冻象鼻进行杂交全弓修复术后的患者免于截瘫。
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