A systematic review of spinal cord ischemia prevention and management after open and endovascular aortic repair

• Published in: Journal of vascular surgery Vol. 75; no. 3; pp. 1091 - 1106
• Main Authors: Lella, Srihari K., Waller, Harold D., Pendleton, Alaska, Latz, Christopher A., Boitano, Laura T., Dua, Anahita
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.03.2022
• Subjects: Algorithms; Aorta, Thoracic - physiopathology; Aorta, Thoracic - surgery; Aortic Diseases - mortality; Aortic Diseases - physiopathology; Aortic Diseases - surgery; Blood Vessel Prosthesis Implantation - adverse effects; Blood Vessel Prosthesis Implantation - mortality; Decision Support Techniques; Endovascular Procedures - adverse effects; Endovascular Procedures - mortality; Humans; Risk Assessment; Risk Factors; Spinal cord infarction; Spinal Cord Ischemia - etiology; Spinal Cord Ischemia - mortality; Spinal Cord Ischemia - physiopathology; Spinal Cord Ischemia - prevention & control; Spinal cord ischemia prevention and mitigation strategies; Spinal cord ischemia rates; Spinal cord ischemia review; Surgery; Time Factors; Treatment Outcome; Spinal cord ischemia prevention and mitigation strategies; Spinal cord ischemia review; Spinal cord infarction; Spinal cord ischemia rates

Spinal cord ischemia (SCI) is one of the most devastating complications after descending thoracic aortic (DTA) and thoracoabdominal aortic (TAA) repairs. Patients who develop SCI have a poor prognosis, with mortality rates reaching 75% within the first year after surgery. Many factors have been show...