Surgery Today

, Volume 48, Issue 5, pp 473–477 | Cite as

Spinal cord injury as a complication of thoracic endovascular aneurysm repair

Review Article
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Abstract

Objective

Spinal cord ischemia (SCI) is a devastating complication of thoracic aortic aneurysm repair in the era of thoracic endovascular aneurysm repair (TEVAR). This review aims to clarify the causes of SCI during TEVAR and to propose ways that it may be prevented.

Methods and results

We performed an extensive literature search of SCI during TEVAR. Based on the existing literature, we examined the anatomy of the anterior spinal cord artery, which supplies blood to the anterior aspect of the spinal cord, and discuss reported effective ways to prevent SCI during TEVAR, including augmentation of arterial blood pressure and drainage of cerebrospinal fluid.

Conclusion

After reviewing the mechanism of SCI during TEVAR, we evaluated promising preventative measures.

Keywords

Thoracic endovascular aneurysm repair (TEVAR) Descending thoracic aortic aneurysm Paraplegia Spinal cord ischemia 

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Copyright information

© Springer Japan KK 2017

Authors and Affiliations

  1. 1.Department of Cardiovascular Surgery, Graduate School of MedicineHiroshima UniversityHiroshimaJapan

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