The treatment of spinal cord ischemia following thoracic endovascular aortic repair.
Publication/Presentation Date
1-1-2007
Abstract
INTRODUCTION: Thoracic endovascular aortic repair (TEVAR) is a promising alternative to the traditional open surgical approach, though spinal cord ischemia remains a challenging complication. Spinal cord ischemia has been treated using lumbar cerebral spinal fluid (CSF) drainage.
METHODS: We report a case of delayed spinal cord ischemia that was successfully treated with vasopressor therapy alone, supporting aggressive blood pressure augmentation as a primary intervention to increase spinal cord perfusion.
RESULTS: The pathophysiology of spinal cord ischemia after TEVAR is presented along with our treatment protocol.
Volume
6
Issue
1
First Page
35
Last Page
39
ISSN
1541-6933
Published In/Presented At
McGarvey, M. L., Mullen, M. T., Woo, E. Y., Bavaria, J. E., Augoustides, Y. G., Messé, S. R., & Cheung, A. T. (2007). The treatment of spinal cord ischemia following thoracic endovascular aortic repair. Neurocritical care, 6(1), 35–39. https://doi.org/10.1385/NCC:6:1:35
Disciplines
Medicine and Health Sciences
PubMedID
17356189
Department(s)
Department of Surgery
Document Type
Article