Spinal cord preservation in thoracoabdominal aneurysm repair.
Spinal cord preservation in thoracoabdominal aneurysm repair.
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DOI：
10.1177/1531003511400622
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发表时间：
2011-09-01
期刊：
影响因子：
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通讯作者：
Griepp, Randall B
中科院分区：
文献类型：
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作者：
Bischoff, Moritz S;Di Luozzo, Gabriele;Griepp, Randall B
脊髓损伤(SCI)是胸腹主动脉瘤修补术最可怕的并发症之一。尽管主动脉腔内修复术的侵入性更小，技术也有了新的进步，但脊髓损伤仍然是腔内手术的一大危险因素。然而，随着我们对脊髓血管侧支网络的了解的加深，很明显，通过使用许多已被证明成功地减少与开放手术修复相关的脊髓损伤的相同策略，与血管内治疗相关的截瘫和截瘫的发生率可以降至最低。这篇文章强调了脊髓保护的重要方面，这是从作者的临床和实验经验中衍生出来的。
Spinal cord injury (SCI) stands as one of the most dreadful complications of thoracoabdominal aneurysm repair. Despite the less invasive nature and recent technical advancements of endovascular aortic repair, SCI still remains a significant danger in endovascular approaches. However, as our understanding of the collateral network of spinal cord vasculature has grown, it has become evident that the incidence of paraplegia and paraparesis in conjunction with endovascular procedures can be minimized through the use of many of the same strategies that have proven successful in reducing SCI associated with open surgical repair. This article highlights important aspects of spinal cord protection, which have been derived from the authors' clinical and experimental experience.