[Prognostication of neurological complication risk after descending and thoracoabdominal aortic aneurysm repair].
Neurological complications after descending and thoracoabdominal aortic aneurysm (TAAA) correction procedures remain a serious challenge. Their prevention implies proactive approach to manageable risk factors: diagnosis and preoperative correction of latent renal failure [odds ratio (OR)=4.72; p=0.08] and minimization the cross-clamp time (OR=7.0; p=0.03). Extended TAAAs, especially type 1 and 2, (OR=8.5; p=0.03) must be operated only in facilities with sufficient experience in such reconstructions. Prognostic model was suggested to calculate precisely the risk of paraparesis. TAAA correction <<without perfusion>> is accompanied by 1.45-fold higher risk of neurological complications then after procedures that are accomplished under protection.
Belov
Iu V
IuV
Komarov
R N
RN
Stepanenko
A B
AB
Gens
A P
AP
Charchian
E R
ER
D001013:Aorta, Thoracic / Q000503:physiopathology* / Q000601:surgery*; D001014:Aortic Aneurysm / Q000503:physiopathology* / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020335:Paraparesis / Q000209:etiology*; D011379:Prognosis; D011446:Prospective Studies; D012307:Risk Factors