Erschienen in:
13.10.2023 | Images
Intrathecal hematoma as a neuraxial complication of lumbar cerebrospinal fluid drainage for endovascular repair of a thoracic aortic aneurysm
verfasst von:
Megan Deck, MD, FRCPC, Hilary P. Grocott, MD, FRCPC, Michael H. Yamashita, MDCM, MPH, FRCSC
Erschienen in:
Canadian Journal of Anesthesia/Journal canadien d'anesthésie
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Ausgabe 11/2023
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Excerpt
Transient or permanent spinal cord injury is a devastating complication of thoracic aortic surgery.
1 Lumbar cerebrospinal fluid (CSF) drainage is recommended to optimize spinal cord blood flow during open and endovascular thoracoabdominal aortic aneurysm repair
2 but carries multiple risks, including iatrogenic neuraxial hematoma. Hematoma formation after neuraxial needle puncture is thought to occur most commonly in the epidural space because of the presence of an extensive epidural venous plexus; however, bleeding can theoretically occur anywhere within the neuraxis, including the subdural and intrathecal spaces, and may result in variable clinical presentations.
3,4 …