PMID: 9551047Apr 29, 1998Paper

Prevention of spinal cord ischaemic complications after thoracoabdominal aortic surgery

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
Richard P Cambria, J S Giglia

Abstract

Since the publication of prior reviews on this topic, substantial clinical experience with a variety of operative strategies to prevent ischaemic cord complications has been reported. The available data on angiographic localisation of critical intercostal vessels, and, in particular, the evoked potential response to cross-clamping in patients indicates that risk of paraplegia varies considerably even among patients with equivalent TAA extent. Factors such as individual development of the ASA, patent critical intercostals, and the particulars of collateral circulation when intercostal aortic ostia are already occluded likely account for this variability. Information available from SSEP monitoring relative to the dynamic course of cord ischaemia with cross-clamping, and the parallel, if not, frustrating experience with angiographic localisation and intercostal vessel reconstruction indicates that a narrow temporal threshold of cord ischaemia with clamping is present in many patients. This reinforces the importance of both expeditious clamp intervals, critical intercostal re-anastomoses, and the desirability of neuroprotective manoeuvres during cross-clamp induced cord ischemia. As suggested in compelling experimental work our con...Continue Reading

References

Sep 11, 1992·American Journal of Surgery·L H HollierF J Kazmier
Jun 1, 1991·The Annals of Thoracic Surgery·J M AgeeC G Tribble
Jun 1, 1990·Experimental Neurology·A Martinez-ArizalaJ W Holaday
Jun 1, 1990·The Journal of Surgical Research·R J FowlD K Anderson
May 1, 1989·Archives of Surgery·R P CambriaW M Abbott
Jun 1, 1987·The Annals of Thoracic Surgery·R ColonH A McAllister
Nov 1, 1969·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·R Djindjian
Jun 1, 1969·Journal of Neurosurgery·T B Ducker, H F Hamit
Jan 6, 1984·JAMA : the Journal of the American Medical Association·M B BrackenP L Perot
Aug 3, 1984·European Journal of Pharmacology·A I FadenJ A Zivin
Nov 1, 1984·The Annals of Thoracic Surgery·J C LaschingerF C Spencer
Jan 1, 1982·The Annals of Thoracic Surgery·W A NylanderW F Meacham
Jul 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·C K RokkasN T Kouchoukos
Aug 1, 1995·American Journal of Surgery·A J Comerota, J V White
May 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·D G ReuterP E Konrad
Jan 1, 1995·The Annals of Thoracic Surgery·M C MauneyC G Tribble
Nov 1, 1994·Journal of Cardiac Surgery·J S Coselli
Aug 1, 1994·The Annals of Thoracic Surgery·C K RokkasN T Kouchoukos
Sep 1, 1994·The Annals of Thoracic Surgery·O E DapuntR B Griepp
Oct 1, 1994·The Annals of Thoracic Surgery·A D ForbesE D Verrier
Nov 1, 1994·Stroke; a Journal of Cerebral Circulation·K P Madden
Jul 1, 1994·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·M MarsalaT L Yaksh
Jul 1, 1994·The Annals of Thoracic Surgery·S KazamaA Ishihara
Jul 1, 1994·The Annals of Thoracic Surgery·T UenoT Itoh
Jul 1, 1994·The Annals of Thoracic Surgery·S A Scheinin, D A Cooley
Nov 1, 1993·The Annals of Thoracic Surgery·A C CernaianuA J DelRossi

❮ Previous
Next ❯

Citations

Oct 16, 1999·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·R P Cambria
Dec 24, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Serdar AkgunAydin Sav
Feb 19, 1999·Journal of the American College of Surgeons·J C Stanley
Jan 8, 2004·Seminars in Thoracic and Cardiovascular Surgery·James H BlackRichard P Cambria
Feb 14, 2006·Journal of Vascular Surgery·James H Black, Richard P Cambria
Oct 26, 2006·The Annals of Thoracic Surgery·Christian D EtzRandall B Griepp
Mar 15, 2006·Seminars in Vascular Surgery·James H Black, Richard P Cambria
Jul 17, 2010·Annals of the New York Academy of Sciences·Damien P Kuffler
Feb 15, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N V DiasT Resch
May 21, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Christian D EtzMartin Czerny
Jun 15, 2010·Journal of Vascular Surgery·Jeanwan KangMichael T Watkins
Dec 10, 1999·Journal of Vascular Surgery·O C VelazquezJ P Carpenter
Feb 15, 2011·Journal of Vascular Surgery·Mark F ConradRichard P Cambria
Aug 29, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G Melissano, R Chiesa
Mar 16, 2012·The Cochrane Database of Systematic Reviews·Charlie C-T HsuJohn A Rophael
May 22, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Leonardo Aguiar LucasEdward B Diethrich
Jan 6, 2005·International Anesthesiology Clinics·Wilton C LevineJ Kenneth Davison
Nov 6, 2018·Journal of Vascular Surgery·Konstantinos SpanosNikolaos Tsilimparis
Jan 27, 2021·The Journal of Cardiovascular Surgery·Josephina HaunschildChristian D Etz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.