An alternative for descending thoracic aortic aneurysm repair.
A simple technique termed "clamp test and spinal cord-plegia" for descending thoracic aortic aneurysm surgery is described. The clamp test is a passive method of creating ischemic conditions, whereas spinal cord-plegia is an active method of decreasing metabolism. This technique is a practical test that double-checks for critical feeding arteries and seems to have an excellent spinal cord-preserving effect.
Okada
Kenji
K
Department of Cardiovascular Surgery, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan. kokada@hiroshima-u.ac.jp
Sueda
Taijiro
T
Orihashi
Kazumasa
K
Tanaka
Nobuhiro
N
Nakanishi
Kazuyoshi
K
Ochi
Mitsuo
M
D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D013118:Spinal Cord Diseases / Q000517:prevention & control*; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*