Spinal Cord Protection with Cerebrospinal Fluid Drains in a Patient Undergoing Thoracic Endovascular Aortic Repair.
Summary of "Spinal Cord Protection with Cerebrospinal Fluid Drains in a Patient Undergoing Thoracic Endovascular Aortic Repair."
Paralysis and paraparesis are dreaded complications of thoracic endovascular aortic repair (TEVAR) that occur with an incidence of 2%-6%. Risks factors include the type of thoracic aortic pathology treated, coverage of the left subclavian artery origin without revascularization, concomitant infrarenal abdominal aortic aneurysm repair, extent of stent graft coverage of the thoracic aorta, and renal failure. Cerebral spinal fluid (CSF) drains have been advocated as one of several protective strategies to prevent spinal cord ischemia. This case discussion briefly addresses the evidence supporting the use of CSF drains in patients undergoing TEVAR and offers an algorithm for managing CSF drains.
Affiliation
Department of Radiology, Division of Vascular and Interventional Radiology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA 90027.
Journal Details
This article was published in the following journal.
Name: Journal of vascular and interventional radiology : JVIR
ISSN: 1535-7732
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20688536
- DOI: http://dx.doi.org/10.1016/j.jvir.2010.05.011
Medical and Biotech [MESH] Definitions
Arachnoid
A delicate membrane enveloping the brain and spinal cord. It lies between the PIA MATER and the DURA MATER. It is separated from the pia mater by the subarachnoid cavity which is filled with CEREBROSPINAL FLUID.
Cerebrospinal Fluid Shunts
Tubes inserted to create communication between a cerebral ventricle and the internal jugular vein. Their emplacement permits draining of cerebrospinal fluid for relief of hydrocephalus or other condition leading to fluid accumulation in the ventricles.
Spinal Cord Diseases
Pathologic conditions which feature SPINAL CORD damage or dysfunction, including disorders involving the meninges and perimeningeal spaces surrounding the spinal cord. Traumatic injuries, vascular diseases, infections, and inflammatory/autoimmune processes may affect the spinal cord.
Spinal Cord Ischemia
Reduced blood flow to the spinal cord which is supplied by the anterior spinal artery and the paired posterior spinal arteries. This condition may be associated with ARTERIOSCLEROSIS, trauma, emboli, diseases of the aorta, and other disorders. Prolonged ischemia may lead to INFARCTION of spinal cord tissue.
Spinal Cord Regeneration
Repair of the damaged neuron function after SPINAL CORD INJURY or SPINAL CORD DISEASES.
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