title: The treatment of spinal cord ischemia following thoracic endovascular aortic repair.
abstract: BACKGROUND
  Thoracic endovascular aortic repair (TEVAR) is a promising alternative to the traditional open surgical approach, though spinal cord ischemia remains a challenging complication. Spinal cord ischemia has been treated using lumbar cerebral spinal fluid (CSF) drainage.
  
  
  METHODS
  We report a case of delayed spinal cord ischemia that was successfully treated with vasopressor therapy alone, supporting aggressive blood pressure augmentation as a primary intervention to increase spinal cord perfusion.
  
  
  RESULTS
  The pathophysiology of spinal cord ischemia after TEVAR is presented along with our treatment protocol.
authors.affiliation: Department of Neurology, University of Pennsylvania, Philadelphia, PA 19104-4283, USA. mlmcgarv@mail.med.upenn.edu
authors.forename: Michael L
authors.initials: ML
authors.lastname: McGarvey
authors.forename: Michael T
authors.initials: MT
authors.lastname: Mullen
authors.forename: Edward Y
authors.initials: EY
authors.lastname: Woo
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Bavaria
authors.forename: Yanni G
authors.initials: YG
authors.lastname: Augoustides
authors.forename: Steven R
authors.initials: SR
authors.lastname: Messé
authors.forename: Albert T
authors.initials: AT
authors.lastname: Cheung
mesh_terms: D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000453:epidemiology; D011184:Postoperative Period; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D020760:Spinal Cord Ischemia / Q000209:etiology / Q000628:therapy*