| Treatment of Delayed Neurological Deficits after Surgical Repair of Thoracic Aortic Aneurysm. | |
| | |
MedLine Citation:
|
PMID: 22156278 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Delayed neurologic deficits, paraplegia and paraparesis, are devastating complications after repair of a descending thoracic and thoracoabdominal aortic aneurysm (TAAA). A treatment protocol has not been established, although strategies such as cerebrospinal fluid (CSF) drainage, maintaining blood pressure and medication have been described. Cerebrospinal drain status /oxygen delivery/patient status (COPS) therapy for delayed neurological deficit can improve spinal cord ischemia through reducing intraspinal pressure, improving oxygen delivery and maintaining high blood pressure. We describe one patient (Case 1), in whom descending thoracic and abdominal aortic aneurysms were treated by endovascular aortic repair, and another (Case 2) with Crawford type II TAAA, who developed delayed neurological deficits that were treated with immediate COPS therapy (Modified Tarlov scale; Case1, improved from 2 to 4; Case 2, from 0 to 4). These findings indicate the benefit of COPS for treating delayed neurological deficits after descending thoracic and TAAA. |
| | |
Authors:
|
Yohsuke Yanase; Nobuyoshi Kawaharada; Toshiyuki Maeda; Tetsuya Koyanagi; Toshiro Ito; Yoshihiko Kurimoto; Tetsuya Higami |
Related Documents
:
|
7229118 - Development of pulmonary edema related to heparin administration. 3083798 - Postictal pulmonary edema. report of a case. 16278898 - Severe bilateral panlobular emphysema and pulmonary arterial hypoplasia: unusual manife... 2660818 - High-altitude pulmonary edema: a collective review. 18071768 - Mdct arteriographic spectrum in acute blunt peripheral trauma--a pictorial review. 17202648 - Pulmonary endarteritis. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-12-9 |
Journal Detail:
|
Title: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Volume: - ISSN: 1341-1098 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
|
Created Date: 2011-12-13 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9703158 Medline TA: Ann Thorac Cardiovasc Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University of Medicine, Sapporo, Hokkaido, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A Case of Primary Angiosarcoma of the Lung Presenting as a Hemorrhagic Bronchial Tumor.
Next Document: Failed Depiction of Patent Bypass Graft Due to Presence of Large Lateral Costal Artery.