European Journal of Vascular & Endovascular Surgery
Volume 37, Issue 6 , Pages 654-660 , June 2009

Prevention of Paraplegia during Thoracoabdominal Aortic Aneurysm Repair

  • C.D. Bicknell

      Affiliations

    • Corresponding Author InformationCorresponding author at: C.D. Bicknell, Vascular Secretary's Office, Waller Cardiac Building, St Mary's Hospital, Praed St, London W2 1NY, UK. Tel.: +44 207 886 6072; fax: +44 207 886 2216.
    • ,
  • C.V. Riga
    • ,
  • J.H.N. Wolfe

Received 27 October 2008 ,Accepted 21 February 2009.

References 

  1. Greenberg RK, Lu Q, Roselli EE, Svensson LG, Moon MC, Hernandez AV, et al. Contemporary analysis of descending thoracic and thoracoabdominal aneurysm repair: a comparison of endovascular and open techniques. Circulation. 2008 Aug 19;118(8):808–817[Epub 2008 Aug 4]
  2. Bavaria JE, Appoo JJ, Makaroun MS, Verter J, Yu ZF, Mitchell RS, et al. Investigators endovascular stent grafting versus open surgical repair of descending thoracic aortic aneurysms in low-risk patients: a multicenter comparative trial. J Thorac Cardiovasc Surg. 2007 Feb;133(2):369–377[Epub 2007 Jan 8]
  3. Kieffer E, Chiche L, Godet G, Koskas F, Bahnini A, Bertrand M, et al. Type IV thoracoabdominal aneurysm repair: predictors of postoperative mortality, spinal cord injury, and acute intestinal ischemia. Ann Vasc Surg. 2008 Nov;22(6):822–828
  4. Svensson LG, Patel V, Robinson MF, Ueda T, Roehm JO, Crawford ES. Influence of preservation or perfusion of intraoperatively identified spinal cord blood supply on spinal motor evoked potentials and paraplegia after aortic surgery. J Vasc Surg. 1991 Mar;13(3):355–365
  5. Kieffer E, Fukui S, Chiras J, Koskas F, Bahnini A, Cormier E. Spinal cord arteriography: a safe adjunct before descending thoracic or thoracoabdominal aortic aneurysmectomy. J Vasc Surg. 2002;35:262–268
  6. Nijenhuis RJ, Jacobs MJ, Jaspers K, Reinders M, van Engelshoven JM, Leiner T, et al. Comparison of magnetic resonance with computed tomography angiography for preoperative localization of the Adamkiewicz artery in thoracoabdominal aortic aneurysm patients. J Vasc Surg. 2007;45:677–685
  7. Biglioli P, Roberto M, Cannata A, Parolari A, Fumero A, Grillo F, et al. Upper and lower spinal cord blood supply: the continuity of the anterior spinal artery and the relevance of the lumbar arteries. J Thorac Cardiovasc Surg. 2004 Apr;127(4):1188–1192
  8. Schlösser FJ, Verhagen HJ, Lin PH, Verhoeven EL, van Herwaarden JA, Moll FL, et al. TEVAR following prior abdominal aortic aneurysm surgery: Increased risk of neurological deficit. J Vasc Surg. 2009;49(2):308–314
  9. Safi HJ, Miller CC, Carr C, Iliopoulos DC, Dorsay DA, Baldwin JC. Importance of intercostal artery reattachment during thoracoabdominal aortic aneurysm repair. J Vasc Surg. 1998;27:58–66
  10. Backes WH, Nijenhuis RJ, Mess WH, Wilmink FA, Schurink GWH, Jacobs MJ. Magnetic resonance angiography of collateral blood supply to spinal cord in thoracic and thoracoabdominal aortic aneurysm patients. J Vasc Surg. 2008;48:261–271
  11. Acher CW, Wynn MM. Technique of thoracoabdominal aneurysm repair. Ann Vasc Surg. 1995;9:585–595
  12. Biglioli P, Spirito R, Porqueddu M, Agrifoglio M, Pompilio G, Parolari A, et al. Quick, simple clamping technique in descending thoracic aortic aneurysm repair. Ann Thorac Surg. 1999 Apr;67(4):1038–1043[discussion 1043–4]
  13. Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Experience with 1509 patients undergoing thoracoabdominal aortic operations. J Vasc Surg. 1993;17:357–368
  14. Cambria RP, Clouse WD, Davison JK, Dunn PF, Corey M, Dorer D. Thoracoabdominal aneurysm repair: results with 337 operations performed over a 15-year interval. Ann Surg. 2002;236:471–479
  15. Crawford ES. Thoraco-abdominal and abdominal aortic aneurysms involving renal, superior mesenteric, celiac arteries. Ann Surg. 1974;179:763–772
  16. Coselli JS. The use of left heart bypass in the repair of thoracoabdominal aortic aneurysms: current techniques and results. Semin Thorac Cardiovasc Surg. 2003;15:326–332
  17. Coselli JS, LeMaire SA. Left heart bypass reduces paraplegia rates after thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 1999;67:1931–1948
  18. Coselli JS, LeMaire SA, Conklin LD, Adams GJ. Left heart bypass during descending thoracic aortic aneurysm repair does not reduce the incidence of paraplegia. Ann Thorac Surg. 2004;77:1298–1303
  19. Jacobs MJ, de Mol BA, Legemate DA, Veldman DJ, de Haan P, Kalkman CJ. Retrograde aortic and selective organ perfusion during thoracoabdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 1997;14:360–366
  20. Davison JK, Cambria RP, Vierra DJ, Columbia MA, Koustas G. Epidural cooling for regional spinal cord hypothermia during thoracoabdominal aneurysm repair. J Vasc Surg. 1998;27:58–66
  21. Coselli JS, Lemaire SA, Köksoy C, Schmittling ZC, Curling PE. Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: results of a randomized clinical trial. J Vasc Surg. 2002;35:631–639
  22. Safi HJ, Miller CC, Azizzadeh A, Iliopoulos DC. Observations on delayed neurologic deficits after thoracoabdominal aortic aneurysm repair. J Vasc Surg. 1997;26:616–622
  23. Wynn MM, Mell MW, Tefera G, Hoch JR, Acher CW. Complications of spinal fluid drainage in thoracoabdominal ortic aneurysm repair: A report of 486 patients treated from 1987 to 2008. J Vasc Surg. 2009;49(1):29–34
  24. Jacobs MJ, Mess W, Mochtar B, Nijenhuis RJ, Statius van Eps RG, Schurink GW. The value of motor evoked potentials in reducing paraplegia during thoracoabdominal aneurysm repair. J Vasc Surg. 2006;43:239–246
  25. Keyhani K, Achouh P, Miller CC, Azizzadeh A, Coogan SM, Estrera AL, et al. Analysis of motor and somatosensory evoked potentials during thoracic and thoracoabdominal aortic aneurysm repair. San Diego: Society for Vascular Surgery; 2008;
  26. Stone DH, Brewster DC, Kwolek CJ, Lamuraglia GM, Conrad MF, Chung TK, et al. Stent-graft versus open-surgical repair of the thoracic aorta: mid-term results. J Vasc Surg. 2006 Dec;44(6):1188–1197
  27. Thompson M, Ivaz S, Cheshire N, Fattori R, Rousseau H, Heijmen R, et al. Early results of endovascular treatment of the thoracic aorta using the Valiant endograft. Cardiovasc Intervent Radiol. 2007 Nov–Dec;30(6):1130–1138
  28. Dake MD, Miller DC, Semba CP, Mitchell RS, Walker PJ, Liddell RP. Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med. 1994;331:1729–1734
  29. Böckler D, Kotelis D, Kohlhof P, von Tengg-Kobligk H, Mansmann U, Zink W, et al. Spinal cord ischemia after endovascular repair of the descending thoracic aorta in a sheep model. Eur J Vasc Endovasc Surg. 2007;34:461–469
  30. Feezor RJ, Martin TD, Hess PJ, Daniels MJ, Beaver TM, Klodell CT, et al. Extent of aortic coverage and incidence of spinal cord ischemia after thoracic endovascular aneurysm repair. Ann Thorac Surg. 2008 Dec;86(6):1809–1814[discussion 1814]
  31. Chiesa R, Melissano G, Marrocco-Trischitta MM, Civilini E, Setacci F. Spinal cord ischemia after elective stent-graft repair of the thoracic aorta. J Vasc Surg. 2005;42:11–17
  32. Azizzadeh A, Huynh TT, Miller CC, Estrera AL, Porat EE, Sheinbaum R, et al. Postoperative risk factors for delayed neurologic deficit after thoracic and thoracoabdominal aortic aneurysm repair: a case-control study. J Vasc Surg. 2003 Apr;37(4):750–754
  33. Carroccio A, Marin ML, Ellozy S, Hollier LH. Pathophysiology of paraplegia following endovascular thoracic aortic aneurysm repair. J Card Surg. 2003 Jul-Aug;18(4):359–366
  34. Cho JS, Rhee RY, Makaroun MS. Delayed paraplegia 10 months after endovascular repair of thoracic aortic aneurysm. J Vasc Surg. 2008 Mar;47(3):625–628
  35. Ishimaru S, Kawaguchi S, Koizumi N, Obitsu Y, Ishikawa M. Preliminary report on prediction of spinal cord ischemia in endovascular stent graft repair of thoracic aortic aneurysm by retrievable stent graft. J Thorac Cardiovasc Surg. 1998 Apr;115(4):811–818
  36. Bafort C, Astarci P, Goffette P, El Khoury G, Guerit JM, de Tourtchaninoff M, et al. Predicting spinal cord ischemia before endovascular thoracoabdominal aneurysm repair: monitoring somatosensory evoked potentials. J Endovasc Ther. 2002 Jun;9(3):289–294
  37. Gravereaux EC, Faries PL, Burks JA, Latessa V, Spielvogel D, Hollier LH, et al. Risk of spinal cord ischemia after endograft repair of thoracic aortic aneurysms. J Vasc Surg. 2001 Dec;34(6):997–1003
  38. Buth J, Harris PL, Hobo R, van Eps R, Cuypers P, Duijm L, et al. Neurologic complications associated with endovascular repair of thoracic aortic pathology: incidence and risk factors. A study from the European Collaborators on stent/graft techniques for aortic aneurysm repair (EUROSTAR) registry. J Vasc Surg. 2007;46:1103–1110
  39. Black SA, Wolfe JH, Clark M, Hamady M, Cheshire NJ, Jenkins MP. Complex thoracoabdominal aortic aneurysms: endovascular exclusion with visceral revascularization. J Vasc Surg. 2006;43:1081–1089
  40. Donas KP, Czerny M, Guber I, Teufelsbauer H, Nanobachvili J. Hybrid open-endovascular repair for thoracoabdominal aortic aneurysms: current status and level of evidence. Eur J Vasc Endovasc Surg. 2007 Nov;34(5):528–533
  41. Böckler D, Kotelis D, Geisbüsch P, Hyhlik-Dürr A, Klemm K, von Tengg-Kobligk H, et al. Hybrid procedures for thoracoabdominal aortic aneurysms and chronic aortic dissections – a single center experience in 28 patients. J Vasc Surg. 2008 Apr;47(4):724–732
  42. Siegenthaler MP, Weigang E, Brehm K, Euringer W, Baumann T, Uhl M, et al. Endovascular treatment for thoracoabdominal aneurysms: outcomes and results. Eur J Cardiothorac Surg. 2008 Oct;34(4):810–819[Epub 2008 Sep 4]
  43. Jenkins MP, On Behalf of Regional Vascular Unit, St Mary's Hospital, London, United Kingdom; Department of Vascular and Endovascular Surgery, University of Heidelberg, Germany; Department of Vascular Surgery, Technical University of Munich, Germany . Visceral hybrid of thoraco-abdominal aortic aneurysms – a collaborative approach. Madrid: European Society of Vascular Surgery; 2007;

PII: S1078-5884(09)00103-8

doi: 10.1016/j.ejvs.2009.02.008

European Journal of Vascular & Endovascular Surgery
Volume 37, Issue 6 , Pages 654-660 , June 2009

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