Spinal cord ischemia prevention and management in thoracoabdominal branched endovascular aortic repair.

IF 2.6 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-04-02 DOI:10.1053/j.semtcvs.2025.03.003

Jesse Chait, Armin Tabiei, Gustavo S Oderich, Bernardo C Mendes

引用次数: 0

Abstract

Spinal cord ischemia (SCI) is the most feared complication of complex aortic surgery owing to significant morbidity, decreased patient quality of life, and increased risk of overall short- and long-term mortality. As endovascular repair of thoracoabdominal aortic aneurysms (TAAAs) has evolved to become a first-line therapy owing to decreased perioperative complications and mortality when compared to open surgical repair, a focus on prevention and rescue of SCI has become a primary concern. This review describes the background, incidence, risk factors, prevention, and treatment of SCI following branched endovascular aortic repair of TAAAs.

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脊髓缺血（SCI）是复杂主动脉手术中最令人担忧的并发症，因为它会导致严重的发病率、患者生活质量下降以及短期和长期总死亡率风险增加。与开放性手术修复相比，胸腹主动脉瘤（TAAAs）的血管内修复术可降低围手术期并发症和死亡率，因此已逐渐成为一线疗法，而预防和抢救 SCI 已成为人们关注的首要问题。这篇综述介绍了 TAAAs 支血管内主动脉修补术后 SCI 的背景、发病率、风险因素、预防和治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Thoracic and Cardiovascular Surgery Medicine-Pulmonary and Respiratory Medicine

CiteScore

5.80

自引率

0.00%

发文量

324

审稿时长

12 days

期刊介绍： Seminars in Thoracic and Cardiovascular Surgery is devoted to providing a forum for cardiothoracic surgeons to disseminate and discuss important new information and to gain insight into unresolved areas of question in the specialty. Each issue presents readers with a selection of original peer-reviewed articles accompanied by editorial commentary from specialists in the field. In addition, readers are offered valuable invited articles: State of Views editorials and Current Readings highlighting the latest contributions on central or controversial issues. Another prized feature is expert roundtable discussions in which experts debate critical questions for cardiothoracic treatment and care. Seminars is an invitation-only publication that receives original submissions transferred ONLY from its sister publication, The Journal of Thoracic and Cardiovascular Surgery. As we continue to expand the reach of the Journal, we will explore the possibility of accepting unsolicited manuscripts in the future.