Recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass

被引：2
|
作者：
Gombert, Alexander [1 ]
Grommes, Jochen [1 ]
Hilkman, Danny [2 ]
Kotelis, Drosos [1 ]
Mess, Werner H. [2 ]
Jacobs, Michael J. [1 ]
机构：
[1] Univ Hosp RWTH Aachen, European Vasc Ctr Aachen Maastricht, Dept Vasc Surg, Aachen, Germany
[2] Maastricht Univ, Med Ctr, Dept Clin Neurophysiol, Maastricht, Netherlands
来源：
JOURNAL OF VASCULAR SURGERY CASES AND INNOVATIVE TECHNIQUES | 2018年 / 4卷 / 01期
关键词：
D O I：
10.1016/j.jvscit.2017.12.004
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Ischemia of the spinal cord remains a disastrous complication in thoracoabdominal aortic aneurysm (TAAA) surgery. We report a case of open type I TAAA repair during which no motor evoked potentials were detectable for >1 hour after aortic cross-clamping. The creation of three intercostal artery bypasses restored spinal cord perfusion. As the patient showed only moderate clinical signs of spinal cord ischemia afterward, we underline the role of neuromonitoring to guide intercostal artery bypass implantation during TAAA surgery as the combined use of neuromonitoring and intercostal artery bypass implantation may prevent paraplegia in specific TAAA cases.
引用
收藏
页码：54 / 57
页数：4
相关论文
共 50 条
  • [21] Thoracic Endovascular Aortic Repair for Ruptured Intercostal Patch Aneurysm Following Thoracoabdominal Aortic Aneurysm Repair
    Henmi, Soichiro
    Nakai, Hidekazu
    Yamanaka, Katsuhiro
    Omura, Atsushi
    Inoue, Takeshi
    Okada, Kenji
    ANNALS OF VASCULAR DISEASES, 2020, 13 (03) : 316 - 318
  • [22] Systematic review of motor evoked potentials monitoring during thoracic and thoracoabdominal aortic aneurysm open repair surgery: a diagnostic meta-analysis
    Yuu Tanaka
    Masahiko Kawaguchi
    Yoshinori Noguchi
    Kenji Yoshitani
    Mikito Kawamata
    Kenichi Masui
    Takeo Nakayama
    Yoshitugu Yamada
    Journal of Anesthesia, 2016, 30 : 1037 - 1050
  • [23] Utility of Motor Evoked Potentials in Open Thoracoabdominal Aortic Repair and Risk Factors Associated with Spinal Cord Ischemia
    Aru, Roberto Giorgio
    Stonko, David P.
    Tan, Li Ting
    Sorber, Rebecca A.
    Hicks, Caitlin W.
    Black, James H., III
    JOURNAL OF VASCULAR SURGERY, 2024, 79 (02) : E22 - E23
  • [24] The value of motor evoked potentials in reducing paraplegia during thoracoabdominal aneurysm repair - Discussion
    Sicard, GA
    Jacobs
    Cherry, K
    Ricotta, J
    Cambria, R
    Williams, GM
    JOURNAL OF VASCULAR SURGERY, 2006, 43 (02) : 245 - 246
  • [25] Onlay patch for complete intercostal artery preservation during thoracic and thoracoabdominal aortic aneurysm repair
    DeAnda, A
    Philpott, JM
    Kasirajan, V
    JOURNAL OF CARDIAC SURGERY, 2005, 20 (06) : 578 - 581
  • [26] Results of open thoracoabdominal aortic aneurysm repair
    LeMaire, Scott A.
    Price, Matt D.
    Green, Susan Y.
    Zarda, Samantha
    Coselli, Joseph S.
    ANNALS OF CARDIOTHORACIC SURGERY, 2012, 1 (03) : 286 - 292
  • [27] Prolonged loss of leg myogenic motor evoked potentials during thoracoabdominal aortic aneurysm repair, without postoperative paraplegia
    Denda S.
    Taneoka M.
    Honda H.
    Watanabe Y.
    Imai H.
    Kitahara Y.
    Journal of Anesthesia, 2006, 20 (4) : 314 - 318
  • [28] Motor Evoked Potentials in Thoracoabdominal Aortic Surgery: CON
    Coselli, Joseph S.
    Tsai, Peter I.
    CARDIOLOGY CLINICS, 2010, 28 (02) : 361 - +
  • [29] Motor Evoked Potentials in Thoracoabdominal Aortic Surgery: PRO
    Koeppel, T. A.
    Mess, W. H.
    Jacobs, M. J.
    CARDIOLOGY CLINICS, 2010, 28 (02) : 351 - +
  • [30] Improvement of motor evoked potentials monitoring is required during thoracic or thoracoabdominal aortic aneurysm surgery under hypothermic cardiopulmonary bypass
    Masahiko Kawaguchi
    Mikito Kawamata
    Yoshitsugu Yamada
    Journal of Anesthesia, 2012, 26 : 157 - 159
12345