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
- randomized controlled trial
- newly diagnosed
- ejection fraction
- minimally invasive
- chronic kidney disease
- ultrasound guided
- prognostic factors
- type diabetes
- coronary artery bypass
- peritoneal dialysis
- heart failure
- aortic valve
- adipose tissue
- clinical practice
- pulmonary artery
- metabolic syndrome
- coronary artery disease
- pulmonary hypertension
- electronic health record
- patient reported outcomes
- case control
- coronary artery
- surgical site infection