Regional hypothermia for prevention of spinal cord ischemic complications after thoracoabdominal aortic surgery: experience with epidural cooling

A technique for regional hypothermic protection of spinal cord with epidural cooling during thoracoabdominal aneurysm (TAA) repair has been applied in over 100 patients. Elevation of cerebrospinal fluid pressure during the infusion is the principle technical limitation of the technique. When compare...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	Seminars in thoracic and cardiovascular surgery 1998-01, Vol.10 (1), p.61-65
Hauptverfasser:	Cambria, R P, Davison, J K
Format:	Artikel
Sprache:	eng
Schlagworte:	Aortic Aneurysm, Abdominal - surgery Aortic Aneurysm, Thoracic - surgery Cerebrospinal Fluid Pressure Epidural Space Humans Hypothermia, Induced - methods Intraoperative Care Intraoperative Complications - prevention & control Ischemia - prevention & control Paraplegia - prevention & control Spinal Cord - blood supply
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Beschreibung
Zusammenfassung:	A technique for regional hypothermic protection of spinal cord with epidural cooling during thoracoabdominal aneurysm (TAA) repair has been applied in over 100 patients. Elevation of cerebrospinal fluid pressure during the infusion is the principle technical limitation of the technique. When compared to institutional historic controls, patients treated with epidural cooling had a significant reduction in spinal cord ischemic complications. In patients treated for elective Types I, II, III TAA with epidural cooling, spinal cord complications have been reduced to the 3% range.
ISSN:	1043-0679
DOI:	10.1016/s1043-0679(98)70020-6