＜编辑精选＞胸主动脉腔内修复术与脊髓损伤。

Division of Vascular and Endovascular Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Nagoya J Med Sci. 2024 Feb;86(1):16-23. doi: 10.18999/nagjms.86.1.16.

We previously reported that spinal cord injury following thoracic endovascular aortic repair for a thoracic aortic aneurysm is a micro embolism caused by a vulnerable mural thrombus. Conversely, patients who underwent thoracic endovascular aortic repair for aortic dissection develop spinal cord injury less frequently due to fewer mural thrombi. Paying attention to preserving blood flow toward the spinal cord, namely collateral circulation and steal phenomenon, prevents spinal cord injury following thoracic endovascular aortic repair for aortic dissection.

我们之前曾报道过，胸主动脉瘤的胸主动脉腔内修复术后发生的脊髓损伤是由脆弱的壁血栓引起的微栓塞。相反，接受胸主动脉腔内修复术治疗主动脉夹层的患者由于壁血栓较少，脊髓损伤的发生率较低。注意保护向脊髓的血流，即侧支循环和盗血现象，可预防主动脉夹层的胸主动脉腔内修复术后脊髓损伤。