Monitoring Spinal Cord Function in Open and Endovascular Treatment of Thoracoabdominal Aortic Pathologies

  • Barend MeesEmail author
  • Geert Willem Schurink
  • Noud Peppelenbosch
  • Werner Mess
  • Michael Jacobs


Spinal cord ischemia is one of the most dreadful complications of thoracic and thoracoabdominal aortic surgery. The complex mechanisms of spinal cord perfusion under iatrogenic circumstances, such as surgery, are still not fully unraveled. Neuromonitoring during open and endovascular aortic surgery aims at assessing perioperative spinal cord function, allowing corrective measures in case of compromised spinal cord perfusion and thus reducing the incidence of postoperative spinal cord ischemia. The technique of motor evoked potentials is a reliable and highly accurate method to evaluate spinal cord integrity during thoracic and thoracoabdominal aortic repair.


Spinal cord Neuromonitoring Motor evoked potentials Magnetic stimulation Somatosensory evoked potentials 


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  • Barend Mees
    • 1
    Email author
  • Geert Willem Schurink
    • 1
  • Noud Peppelenbosch
    • 1
  • Werner Mess
    • 2
  • Michael Jacobs
    • 1
  1. 1.European Vascular Center Aachen-MaastrichtMaastricht University Medical Center+MaastrichtThe Netherlands
  2. 2.Department of Clinical NeurophysiologyMaastricht University Medical Center+MaastrichtThe Netherlands

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