title: [Spinal cord protection during open and endovascular surgery in thoracic and thoracoabdominal aorta diseases].
abstract: In recent decades great advances have been made in surgical procedures for treating thoracic and thoracoabdominal aorta defects. Associated mortality and morbidity rates have dropped considerably, mainly in major reference centers, but nonetheless continue to be significant. The need for new strategies to reduce mortality and morbidity has made endovascular approaches an attractive alternative for high-risk surgical patients. The most feared complications of these procedures include paraparesis and paraplegia, which have devastating consequences on patients' quality of life. We provide an updated review of the pathophysiology of spinal cord ischemia in open and endovascular surgery, as well as perioperative measures designed to protect the spinal cord in both types of procedure.
authors.affiliation: Consorcio Hospital General Universitario de Valencia. paulac_g@hotmail.com
authors.forename: P
authors.initials: P
authors.lastname: Carmona
authors.forename: E
authors.initials: E
authors.lastname: Mateo
authors.forename: M
authors.initials: M
authors.lastname: Otero
authors.forename: J I
authors.initials: JI
authors.lastname: Marqués
authors.forename: J J
authors.initials: JJ
authors.lastname: Peña
authors.forename: J
authors.initials: J
authors.lastname: Llagunes
authors.forename: F
authors.initials: F
authors.lastname: Aguar
authors.forename: J
authors.initials: J
authors.lastname: De Andrés
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000517:prevention & control*; D010264:Paraplegia / Q000517:prevention & control*; D012307:Risk Factors; D013131:Spine / Q000098:blood supply*; D014656:Vascular Surgical Procedures / Q000009:adverse effects