AI Article Synopsis
- - Spinal cord deficit (SCD) is a serious complication that can occur after thoracoabdominal aortic aneurysm repair, so careful management during the entire surgical process is crucial to minimize this risk.
- - Preventive strategies during surgery include optimizing patient conditions beforehand and identifying those who are at greater risk for SCD, as well as using techniques like cerebrospinal fluid drainage and selective reimplantation of specific arteries.
- - It's essential to monitor blood pressure and anemia both during and after the procedure, and if SCD is detected early, timely treatment can help reduce potential damage.
Article Abstract
Spinal cord deficit (SCD) is a feared complication after thoracoabdominal aortic aneurysm repair. Vigilant management throughout the perioperative period is necessary to reduce the risk of SCD. Measures for preventing SCD during the intraoperative period include preoperative optimization and recognizing patients at a higher risk of SCD. In this manuscript, we discuss intraoperative adjuncts including utilization of cerebrospinal fluid drainage, left heart bypass, mild hypothermia, selective reimplantation of intercostal and lumbar arteries, and renal and visceral vessel perfusion. From the operative to the postoperative period, careful attention to avoiding hypotension and anemia is important. If SCD is recognized early, therapeutic intervention may be implemented to mitigate injury.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10561332 | PMC |
| http://dx.doi.org/10.21037/acs-2023-scp-10 | DOI Listing |
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