[Spinal cord protection during open and endovascular surgery in thoracic and thoracoabdominal aorta diseases]. / Protección medular en la cirugía abierta y endovascular de las enfermedades de la aorta torácica y toracoabdominal.
Rev Esp Anestesiol Reanim
; 58(2): 110-8, 2011 Feb.
Article
in Es
| MEDLINE
| ID: mdl-21427827
ABSTRACT
In recent decades great advances have been made in surgical procedures for treating thoracic and thoracoabdominal aorta defects. Associated mortality and morbidity rates have dropped considerably, mainly in major reference centers, but nonetheless continue to be significant. The need for new strategies to reduce mortality and morbidity has made endovascular approaches an attractive alternative for high-risk surgical patients. The most feared complications of these procedures include paraparesis and paraplegia, which have devastating consequences on patients' quality of life. We provide an updated review of the pathophysiology of spinal cord ischemia in open and endovascular surgery, as well as perioperative measures designed to protect the spinal cord in both types of procedure.
Search on Google
Database:
MEDLINE
Main subject:
Paraplegia
/
Spine
/
Aortic Aneurysm, Thoracic
/
Aortic Aneurysm, Abdominal
/
Ischemia
Type of study:
Etiology_studies
/
Risk_factors_studies
Limits:
Humans
Language:
Es
Year:
2011
Type:
Article