Contemporary spinal cord protection during thoracic and thoracoabdominal aortic surgery and endovascular aortic repair: a position paper of the vascular domain of the European Association for Cardio-Thoracic Surgery†.

Etz, Christian D; Weigang, Ernst; Hartert, Marc; Lonn, Lars; Mestres, Carlos A; Di Bartolomeo, Roberto; Bachet, Jean E; Carrel, Thierry; Grabenwöger, Martin; Schepens, Marc A A M; Czerny, Martin (2015). Contemporary spinal cord protection during thoracic and thoracoabdominal aortic surgery and endovascular aortic repair: a position paper of the vascular domain of the European Association for Cardio-Thoracic Surgery†. European journal of cardio-thoracic surgery, 47(6), pp. 943-957. Oxford University Press 10.1093/ejcts/ezv142

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Ischaemic spinal cord injury (SCI) remains the Achilles heel of open and endovascular descending thoracic and thoracoabdominal repair. Neurological outcomes have improved coincidentially with the introduction of neuroprotective measures. However, SCI (paraplegia and paraparesis) remains the most devastating complication. The aim of this position paper is to provide physicians with broad information regarding spinal cord blood supply, to share strategies for shortening intraprocedural spinal cord ischaemia and to increase spinal cord tolerance to transitory ischaemia through detection of ischaemia and augmentation of spinal cord blood perfusion. This study is meant to support physicians caring for patients in need of any kind of thoracic or thoracoabdominal aortic repair in decision-making algorithms in order to understand, prevent or reverse ischaemic SCI. Information has been extracted from focused publications available in the PubMed database, which are cohort studies, experimental research reports, case reports, reviews, short series and meta-analyses. Individual chapters of this position paper were assigned and after delivery harmonized by Christian D. Etz, Ernst Weigang and Martin Czerny. Consequently, further writing assignments were distributed within the group and delivered in August 2014. The final version was submitted to the EJCTS for review in September 2014.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Carrel, Thierry

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1010-7940

Publisher:

Oxford University Press

Language:

English

Submitter:

Daniela Huber

Date Deposited:

03 Feb 2016 15:51

Last Modified:

04 Nov 2019 11:57

Publisher DOI:

10.1093/ejcts/ezv142

PubMed ID:

25991554

Uncontrolled Keywords:

Spinal cord injury; Surgery; TEVAR; Thoracic aorta; Thoracoabdominal aorta

BORIS DOI:

10.7892/boris.75015

URI:

https://boris.unibe.ch/id/eprint/75015

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