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

页码：54 / 57

页数：4

共 50 条

[31] Improvement of motor evoked potentials monitoring is required during thoracic or thoracoabdominal aortic aneurysm surgery under hypothermic cardiopulmonary bypass
Kawaguchi, Masahiko
Kawamata, Mikito
Yamada, Yoshitsugu
JOURNAL OF ANESTHESIA, 2012, 26 (02) : 157 - 159
[32] Intraoperative immunomodulation during left heart bypass in open thoracoabdominal aortic aneurysm repair
Pascucci, Federico
Donati, Tommaso
Tinelli, Giovanni
Arlotta, Gabriella
Luparelli, Antonio
Tshomba, Yamume
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES, 2023, 9 (03):
[33] Intercostal artery stent grafting to prevent paraplegia during endovascular treatment of an intercostal loop graft aneurysm after thoracoabdominal aortic aneurysm repair
Tjaden, Bruce L., Jr.
Estrera, Anthony L.
Afifi, Rana O.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2019, 158 (04): : E127 - E130
[34] Strategies to prevent neurologic deficit based on motor-evoked potentials in type I and II thoracoabdominal aortic aneurysm repair
Jacobs, MJHM
Meylaerts, SA
de Haan, P
de Mol, BA
Kalkman, CJ
JOURNAL OF VASCULAR SURGERY, 1999, 29 (01) : 48 - 57
[35] A Quantitative Assessment of the Impact of Intercostal Artery Reimplantation on Paralysis Risk in Thoracoabdominal Aortic Aneurysm Repair Discussions
Griepp, Randall
Cambria, Richard P.
Connolly, John E.
McKinsey, James F.
Acher, Charles W.
ANNALS OF SURGERY, 2008, 248 (04) : 538 - 540
[36] Impact of Reconstructing Intercostal Artery on Spinal Cord Circulation During Open Surgery for Thoracoabdominal Aortic Aneurysm
Kobayashi, Kei
Saito, Satoshi
BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY, 2023, 38 (01) : 43 - 51
[37] Thoracoabdominal aortic aneurysm repair using hypothermic cardiopulmonary bypass and circulatory arrest
Kouchoukos, Nicholas T.
ANNALS OF CARDIOTHORACIC SURGERY, 2012, 1 (03) : 409 - 411
[38] Thoracoabdominal aortic aneurysm repair: open, endovascular, or hybrid?
Rosenblum, Joshua M.
Chen, Edward P.
GENERAL THORACIC AND CARDIOVASCULAR SURGERY, 2019, 67 (01) : 175 - 179
[39] Open thoracoabdominal aortic aneurysm repair in the endovascular era
Tanaka, Akiko
Charlton-Ouw, Kristofer M.
ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2020, 27 (01): : 69 - 75
[40] Open thoracoabdominal aortic aneurysm repair: Is there a "sex problem''?
Di Marco, Luca
Murana, Giacomo
Pacini, Davide
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2017, 154 (04): : 1215 - 1216

← 1 2 3 4 5 →