Document Detail

Spinal cord protection with a cerebrospinal fluid drain in a patient undergoing thoracic endovascular aortic repair.
MedLine Citation:
PMID:  20688536     Owner:  NLM     Status:  MEDLINE    
Paralysis and paraparesis are dreaded complications of thoracic endovascular aortic repair (TEVAR) that occur with an incidence of 2%-6%. Risks factors include the type of thoracic aortic pathology treated, coverage of the left subclavian artery origin without revascularization, concomitant infrarenal abdominal aortic aneurysm repair, extent of stent graft coverage of the thoracic aorta, and renal failure. Cerebral spinal fluid (CSF) drains have been advocated as one of several protective strategies to prevent spinal cord ischemia. This case discussion briefly addresses the evidence supporting the use of CSF drains in patients undergoing TEVAR and offers an algorithm for managing CSF drains.
Cuong H Lam; Geogy Vatakencherry
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-08-04
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  21     ISSN:  1535-7732     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-30     Completed Date:  2010-12-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1343-6     Citation Subset:  IM    
Copyright Information:
Copyright 2010 SIR. Published by Elsevier Inc. All rights reserved.
Department of Radiology, Division of Vascular and Interventional Radiology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA 90027, USA.
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MeSH Terms
Aged, 80 and over
Aortic Aneurysm, Thoracic / physiopathology,  radiography,  surgery*
Aortic Rupture / physiopathology,  radiography,  surgery*
Aortography / methods
Blood Vessel Prosthesis Implantation* / adverse effects
Cerebrospinal Fluid Shunts* / adverse effects
Drainage / methods*
Endovascular Procedures* / adverse effects
Paralysis / etiology,  prevention & control
Paraparesis / etiology,  prevention & control
Spinal Cord Ischemia / etiology,  physiopathology,  prevention & control*
Tomography, X-Ray Computed
Treatment Outcome

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