Regional hypothermia with epidural cooling for prevention of spinal cord ischemic complications after thoracoabdominal aortic surgery.

Szczegóły
Abstrakt

Tytuł:: Regional hypothermia with epidural cooling for prevention of spinal cord ischemic complications after thoracoabdominal aortic surgery.
Autorzy:: Black JH; Division of Vascular and Endovascular Surgery and the Thoracic Aortic Center, Harvard Medical School, Boston, MA 02114, USA.
Davison JK
Cambria RP
Źródło:: Seminars in thoracic and cardiovascular surgery [Semin Thorac Cardiovasc Surg] 2003 Oct; Vol. 15 (4), pp. 345-52.
Typ publikacji:: Journal Article; Review
Język:: English
Imprint Name(s):: Original Publication: [Philadelphia, PA] : W.B. Saunders, [c1989-
MeSH Terms:: Hypothermia, Induced*
Aortic Aneurysm, Abdominal/*surgery
Aortic Aneurysm, Thoracic/*surgery
Postoperative Complications/*etiology
Postoperative Complications/*prevention & control
Spinal Cord Ischemia/*etiology
Spinal Cord Ischemia/*prevention & control
Aortic Aneurysm, Abdominal/epidemiology ; Aortic Aneurysm, Thoracic/epidemiology ; Epidural Space/surgery ; Humans ; Postoperative Complications/epidemiology ; Risk Factors ; Spinal Cord Ischemia/epidemiology
Liczba referencji:: 38
Entry Date(s):: Date Created: 20040108 Date Completed: 20040430 Latest Revision: 20191108
Update Code:: 20240104
DOI:: 10.1053/s1043-0679(03)00086-8
PMID:: 14710376
: Czasopismo naukowe

Full Text Finder

Multiple operative adjuncts have been developed and clinically applied to reduce the incidence of spinal cord ischemic complications (SCI) after thoracoabdominal aneurysm (TAA) repair. Hypothermia is known to reduce oxygen requirements in central nervous tissue and has been successfully applied in the arena of central cardioaortic surgery. Based on our experimental and clinical results, we have employed regional hypothermia by epidural cooling to ameliorate SCI during TAA repair in over 300 patients. This review describes the results obtained in our experience using an approach to TAA repair whereupon the spinal cord is protected during surgery by regional hypothermia via epidural cooling.

Informacja