Safety and efficacy of epidural cooling for regional spinal cord hypothermia during thoracoabdominal aneurysm repair.
Twenty-four consecutive patients underwent epidural cooling as an adjunct to elective thoracoabdominal aortic repair under moderate systemic hypothermia. One patient suffered from postoperative paraplegia (4%), and another died from subarachnoidal hemorrhage (4%). Details of the technique, the associated care, and the pitfalls will be discussed.
Motoyoshi
N
N
Department of Cardiovascular Surgery, Tohoku University, 1-1 Seiryou-cho, Aoba-ward, Sendai 981-0824, Japan.
Takahashi
G
G
Sakurai
M
M
Tabayashi
K
K
D017544:Aortic Aneurysm, Abdominal / Q000401:mortality / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000401:mortality / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D013118:Spinal Cord Diseases / Q000401:mortality / Q000517:prevention & control*; D015996:Survival Rate; D016896:Treatment Outcome