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CC BY 4.0 · Aorta (Stamford) 2022; 10(04): 194-200
DOI: 10.1055/s-0042-1756669
Special Feature Article

Spinal Cord Ischemia in Open and Endovascular Aortic Repair

Enrico Rinaldi
1   Division of Vascular Surgery, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
,
Diletta Loschi
1   Division of Vascular Surgery, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
,
Nicola Favia
1   Division of Vascular Surgery, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
,
Annarita Santoro
1   Division of Vascular Surgery, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
,
Roberto Chiesa
1   Division of Vascular Surgery, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
,
Germano Melissano
1   Division of Vascular Surgery, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
› Institutsangaben Funding None.
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Abstract

Despite the improvements, spinal cord ischemia is still one of the major and most dramatic potential complications after thoracic and thoracoabdominal aortic treatments, for both open and endovascular procedures. A multimodal approach, which includes several intraoperative and postoperative maneuvers, may contribute to optimizing the spinal cord tolerance to ischemia. The aim of this article is to report the different techniques employed to improve spinal cord perfusion, directly and indirectly through collateral circulation.

Keywords

spinal cord ischemia - neurological deficits - open repair - endovascular repair


Publikationsverlauf

Eingereicht: 21. Oktober 2021

Angenommen: 06. Juli 2022

Artikel online veröffentlicht:
15. Dezember 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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