title: Spinal cord preservation in thoracoabdominal aneurysm repair.
abstract: Spinal cord injury (SCI) stands as one of the most dreadful complications of thoracoabdominal aneurysm repair. Despite the less invasive nature and recent technical advancements of endovascular aortic repair, SCI still remains a significant danger in endovascular approaches. However, as our understanding of the collateral network of spinal cord vasculature has grown, it has become evident that the incidence of paraplegia and paraparesis in conjunction with endovascular procedures can be minimized through the use of many of the same strategies that have proven successful in reducing SCI associated with open surgical repair. This article highlights important aspects of spinal cord protection, which have been derived from the authors' clinical and experimental experience.
authors.affiliation: Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, NY 10029, USA. bischoffms@aol.com
authors.forename: Moritz S
authors.initials: MS
authors.lastname: Bischoff
authors.forename: Gabriele
authors.initials: G
authors.lastname: Di Luozzo
authors.forename: Eva B
authors.initials: EB
authors.lastname: Griepp
authors.forename: Randall B
authors.initials: RB
authors.lastname: Griepp
mesh_terms: D000818:Animals; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D003097:Collateral Circulation; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D018579:Patient Selection; D011474:Prosthesis Design; D012039:Regional Blood Flow; D013116:Spinal Cord / Q000098:blood supply*; D013119:Spinal Cord Injuries / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D020760:Spinal Cord Ischemia / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D015607:Stents; D016896:Treatment Outcome