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CC BY 4.0 · Aorta (Stamford) 2023; 11(04): 145-151
DOI: 10.1055/s-0043-1772774
Special Feature Article

Near-Infrared Spectroscopy for Spinal Cord Monitoring—A Roadmap to Translational Research in Aortic Medicine

Konstantin von Aspern 
1   Department for Cardiothoracic Surgery, Klinikum Links der Weser, Bremen, Germany
,
Josephina Haunschild
2   Leipzig Heart Center, University Department for Cardiac Surgery, Leipzig, Saxony, Germany
,
Jens Garbade
1   Department for Cardiothoracic Surgery, Klinikum Links der Weser, Bremen, Germany
,
Christian D. Etz
2   Leipzig Heart Center, University Department for Cardiac Surgery, Leipzig, Saxony, Germany
› Author Affiliations Funding None.
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Abstract

Extensive aortic aneurysms represent a unique challenge necessitating interdisciplinary efforts for safe and effective treatment. Despite various adjunctive neuroprotective strategies, ischemic spinal cord injury remains a devastating complication. This article describes the implementation of collateral network near-infrared spectroscopy as the first noninvasive spinal cord monitoring modality in the setting of extensive open and endovascular aortic repair, from early conceptualization to clinical utilization. Potential capabilities and remaining uncertainties based on current evidence are outlined and discussed.

Keywords

collateral network near-infrared spectroscopy - cnNIRS - spinal cord injury - spinal cord monitoring - translational research


Publication History

Received: 09 August 2022

Accepted: 19 July 2023

Article published online:
10 November 2023

© 2023. 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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