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J Vasc Interv Radiol · Sep 2010
Case ReportsSpinal cord protection with a cerebrospinal fluid drain in a patient undergoing thoracic endovascular aortic repair.
- Cuong H Lam and Geogy Vatakencherry.
- Department of Radiology, Division of Vascular and Interventional Radiology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA 90027, USA. cuong.h.lam@kp.org
- J Vasc Interv Radiol. 2010 Sep 1;21(9):1343-6.
AbstractParalysis and paraparesis are dreaded complications of thoracic endovascular aortic repair (TEVAR) that occur with an incidence of 2%-6%. Risks factors include the type of thoracic aortic pathology treated, coverage of the left subclavian artery origin without revascularization, concomitant infrarenal abdominal aortic aneurysm repair, extent of stent graft coverage of the thoracic aorta, and renal failure. Cerebral spinal fluid (CSF) drains have been advocated as one of several protective strategies to prevent spinal cord ischemia. This case discussion briefly addresses the evidence supporting the use of CSF drains in patients undergoing TEVAR and offers an algorithm for managing CSF drains.Copyright 2010 SIR. Published by Elsevier Inc. All rights reserved.
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