New Technique for Preconditioning of the Spinal Cord Before Endovascular Repair of Descending Thoracic and Thoracoabdominal Aortic Aneurysms

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Björn SonessonT Resch

Abstract

Purpose: To propose a new simplified technique to occlude multiple segmental arteries for staging and preconditioning of the spinal cord to decrease the potential for spinal cord ischemia after thoracic and thoracoabdominal aortic aneurysm repair. Technique: A thoracic stent-graft that flares out to a maximum of 51 mm is deployed in a standard fashion covering all segmental arteries where graft-wall apposition occurs in the first ~20 cm of the aneurysm. The segmental arteries are always closed at their ostia in contrast to selective coil embolization, where there is a risk of more peripheral closure. Follow-up imaging shows thrombus lining the stent-graft-covered portion of the aneurysm and secondary proximal segmental artery occlusion. Conclusion: A new and fast way of staging and preconditioning the spinal cord using a modified stent-graft prior to definitive repair might be an alternative to segmental artery embolization.

References

Aug 25, 2010·The Annals of Thoracic Surgery·Stefano ZoliRandall B Griepp
Apr 18, 2013·Journal of Vascular Surgery·Kenneth DeSartAdam W Beck
Jul 6, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P M KasprzakR Kopp
Dec 3, 2014·Journal of Vascular Surgery·Adrian O'CallaghanMatthew J Eagleton
Feb 15, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N V DiasT Resch
Jan 14, 2017·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery· Writing CommitteeJ Schmidli
Aug 25, 2017·Zentralblatt für Chirurgie·Patrick KupczykClaus Christian Pieper
Mar 12, 2018·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Martijn L DijkstraMaarten J van der Laan
Jul 4, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Daniela BranzanAndrej Schmidt

❮ Previous
Next ❯

Citations

Feb 26, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Tilo Kölbel
May 21, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Catharina GronertTilo Kölbel
May 27, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Enrico RinaldiLuca Bertoglio
Aug 29, 2020·VASA. Zeitschrift für Gefässkrankheiten·Sigrid NikolChristine Espinola-Klein

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Software Mentioned

MISACE
PAPA
Aquarius
ARTIS

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.