Rescue therapy for symptomatic spinal cord ischemia after thoracic endovascular aortic repair

John R. Spratt,Kristen L. Walker,Dan Neal,George J. Arnaoutakis,Tomas D. Martin,Martin R. Back,Yury Zasimovich,Michael Franklin,Zain Shahid,Gilbert R. Upchurch,Salvatore T. Scali,Thomas M. Beaver

The Journal of thoracic and cardiovascular surgery（2022）

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摘要

Permanent paraplegia from post-TEVAR SCI is rare (1.5%). Older patients with comorbidities carry greater post-TEVAR SCI risk. SCI symptoms improved/resolved with CSFD and multimodal RT in 68.9% of patients, but no intervention was independently associated with improvement. TEVAR centers should have robust protocols for timely and safe CSFD placement to augment RT strategies for SCI.

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thoracic endovascular aortic repair,spinal cord ischemia,cerebrospinal fluid drain,aortic aneurysm,thoracic aortic aneurysm,thoracoabdominal aortic aneurysm,aortic dissection,perioperative management

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