Spinal Cord Ischemia after Thoracoabdominal Aortic Procedures
Rupesh George
Heart India · 2015
doi:10.4103/2321-449x.157285 (opens in a new tab)
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Abstract
Overall prevalence of Thoraco abdominal aneurysm has increased due to widespread use of imaging techniques and aging population. Surgical aneurysm repair and endovascular stent graft repair have refined as successful treatment modalities in preventing aneurysm progression and rupture. Since spinal cord depends on branches of thoracoabdominal aorta for blood supply,spinal cord ischaemia is a dreadful complication of these procedures. However recent animal experiments and surgical series thrown light in tackling this anatomical obstructions by physiologic means. The adoption of techniques for avoiding hypovolumea, hypotension, CSF pressure has reduced this complication rate from 23% to 2-6%.
Abstract licence: CC BY-NC-SA
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