AI Article Synopsis

  • TEVAR has a risk of spinal cord ischemia (SCI), which can significantly harm a patient's quality of life and longevity.
  • Current data doesn't strongly endorse routine use of prophylactic cerebrospinal fluid (CSF) drainage, but some studies suggest it may help in certain cases.
  • High-risk patients might benefit from CSF drains, but the decision should consider the potential risks versus benefits for each individual.

Article Abstract

Thoracic endovascular aortic repair (TEVAR) carries a risk of spinal cord ischemia (SCI) which exerts a devastating impact on patient's quality of life and life expectancy. Although routine prophylactic cerebrospinal fluid (CSF) drainage is not unequivocally supported by current data, several studies have demonstrated favorable outcomes. Patients at high risk for SCI following TEVAR likely will benefit from prophylactic CSF drains. However, the intervention is not risk free, and thorough risk/benefit analysis should be individualized to each patient.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767776PMC
http://dx.doi.org/10.1055/s-0042-1757792DOI Listing

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