Cerebrospinal Fluid Drainage for Prevention of Spinal Cord Ischemia in Thoracic Endovascular Aortic Surgery-Pros and Cons.
Hesham EllauziHarendra AroraJohn A ElefteriadesMohammad A ZaffarRama EllauziWanda M PopescuPublished in: Aorta (Stamford, Conn.) (2022)
Thoracic endovascular aortic repair (TEVAR) carries a risk of spinal cord ischemia (SCI) which exerts a devastating impact on patient's quality of life and life expectancy. Although routine prophylactic cerebrospinal fluid (CSF) drainage is not unequivocally supported by current data, several studies have demonstrated favorable outcomes. Patients at high risk for SCI following TEVAR likely will benefit from prophylactic CSF drains. However, the intervention is not risk free, and thorough risk/benefit analysis should be individualized to each patient.
Keyphrases
- spinal cord
- cerebrospinal fluid
- spinal cord injury
- aortic dissection
- neuropathic pain
- end stage renal disease
- case report
- ejection fraction
- randomized controlled trial
- chronic kidney disease
- newly diagnosed
- minimally invasive
- ultrasound guided
- prognostic factors
- aortic valve
- left ventricular
- pulmonary artery
- clinical practice
- electronic health record
- coronary artery bypass
- heart failure
- metabolic syndrome
- patient reported outcomes
- artificial intelligence
- pulmonary arterial hypertension