Commentary: Evoked potential monitoring during open distal repair predicts spinal cord ischemic injury—but does it prevent it?

[摘要] Spinal cord ischemic injury (SCII), manifested clinically by permanent paraplegia or paraparesis, is the most devastating complication following open repair of descending thoracic and thoracoabdominal aortic aneurysms. Interventions that have been implemented to limit the occurrence of permanent SCII include distal aortic perfusion, drainage of cerebral spinal fluid, implantation of intercostal and lumbar arteries, hypothermia, and the use of pharmacologic neuroprotective agents (glucocorticoids, barbiturates, opioid antagonists, and papaverine).

[学科分类] 心脏病和心血管学