nach oben

Journal of Anesthesia

Erschienen in:

01.02.2014 | Editorial

What should we do against delayed onset paraplegia following TEVAR?

verfasst von: Manabu Kakinohana

Erschienen in: Journal of Anesthesia | Ausgabe 1/2014

Einloggen, um Zugang zu erhalten

Excerpt

Spinal cord ischemic injury remains the most devastating complication following the repair of descending thoracic or thoracoabdominal aneurysm. Despite the use of various strategies to prevent spinal cord ischemia, its risk and accompanying neurological deficits have not changed appreciably since it was first reported in 1956 by Adams and Van Geertruyden [1]. In a large series of patients undergoing thoracic or thoracoabdominal aortic aneurysm repair, it ranged from 4.4 to 16 % [2‐4]. …

Adams DH, van Geertruyden HH. Neurologic complications of aortic surgery. Ann Surg. 1956;144:574–610.PubMedCrossRef

Livesay JJ, Cooley DA, Ventemiglia RA, Montero CG, Warrian RK, Brown DM, Duncan JM. Surgical experience in descending thoracic aneurysmectomy with and without adjuncts to avoid ischemia. Ann Thorac Surg. 1985;39:37–46.PubMedCrossRef

Crawford ES, Crawford JL, Safi HJ, Coselli JS, Hess KR, Brooks B, Norton HJ, Glaeser DH. Thoracoabdominal aortic aneurysms: preoperative and intraoperative factors determining immediate and long-term results of operations in 605 patients. J Vasc Surg. 1986;3:389–404.PubMedCrossRef

Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Experience with 1509 patients undergoing thoracoabdominal aortic operations. J Vasc Surg. 1993;17:357–68.PubMedCrossRef

Horiuchi T, Kawaguchi M, Inoue S, Hayashi H, Abe R, Tabayashi N, Taniguchi S, Furuya H. Assessment of intraoperative motor evoked potentials for predicting postoperative paraplegia in thoracic and thoracoabdominal aortic aneurysm repair. J Anesth. 2011;25:18–28.PubMedCrossRef

Coselli JS, Bozinvski J, LeMaire SA. Open surgical repair of 2286 thoracoabdominal aortic aneurysms. Ann Thorac Surg. 2007;83:S862–4.PubMedCrossRef

Rigberg DA, McGory ML, Zingmond DA, Maggard MA, Agustin M, Lawrence PF, Ko CY. Thirty-day mortality statistics underestimate the risk of repair of thoracoabdominal aortic aneurysms; a state wide experience. J Vas Surg. 2006;43:217–22.CrossRef

Schepens MA, Kelder JC, Morshuis WJ, Heijmen RH, van Dongen EP, ter Beek HT. Long-term follow-up after thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 2007;83:S851–5.PubMedCrossRef

Greenberg R, Resch T, Nyman U, Lindh M, Brunkwall J, Brunkwall P, Malina M, Koul B, Lindblad B, Ivancev K. Endovascular repair of descending thoracic aortic aneurysms: an early experience with intermediate-term follow-up. J Vasc Surg. 2001;31:147–56CrossRef

10.

White RA, Donayre CE, Walot I, Lippmann M, Woody J, Lee J, Kim N, Kopchok GE, Fogarty TJ. Endovascular exclusion of descending thoracic aortic aneurysms and chronic dissections: initial clinical results with the AneuRx device. J Vasc Surg. 2001;33:927–34PubMedCrossRef

11.

Amabile P, Grisoli D, Giorgi R, Bartoli JM, Piquet P. Incidence and determinants of spinal cord ischaemia in stent-graft repair of the thoracic aorta. Eur J Vasc Endovasc Surg. 2008;35:455–61.PubMedCrossRef

12.

Bavaria JE, Appoo JJ, Makaroun MS, Verter J, Yu ZF, Mitchell RS. Endovascular stent grafting versus open surgical repair of descending thoracic aortic aneurysms in low-risk patients: a multicenter comparative trial. J Thorac Cardiovasc Surg. 2007;133:369–77.PubMedCrossRef

13.

Estrera AL, Rubenstein FS, Miller CC, Huynh TT, Letsou GV, Safi HJ. Descending thoracic aortic aneurysm: surgical approach and treatment using the adjuncts cerebrospinal fluid drainage and distal aortic perfusion. Ann Thorac Surg. 2001;72:481–6.PubMedCrossRef

14.

Maeda T, Yoshitani K, Sato S, Matsuda H, Inatomi Y, Tomita Y, Ogino H, Ohnishi Y. Spinal cord ischemia after endovascular aortic repair versus open surgical repair for descending thoracic and thoracoabdominal aortic aneurysm. J Anaesth. 2012;26:805–11.CrossRef

15.

Ullery BW, Cheung AT, Faiman RM, Jackson BM, Woo EY, Bavaria J, Pochettino A, Wang GJ. Risk factors, outcomes, and clinical manifestations of spinal cord ischemia following thoracic endovascular aortic repair. J Vasc Surg. 2011;54:677–84.PubMedCrossRef

16.

Hayashi T, Sakurai M, Abe K, Sadahiro M, Tabayashi K, Itoyama Y. Apoptosis of motor neurons with induction of caspases in the spinal cord after ischemia. Stroke. 1998;29:1007–12.PubMedCrossRef

17.

Sakurai M, Nagata M, Abe K, Horinouchi T, Itoyama Y, Tabayashi K. Survival and death-promoting events after transient spinal cord ischemia in rabbits: induction of Akt and caspase-3 in motor neurons. J Thorac Cardiovasc Surg. 2003;125:370–7.PubMedCrossRef

18.

Kakinohana M, Kida K, Minamishima S, Atochin DN, Huang PL, Kaneki M, Ichinose F. Delayed paraplegia after spinal cord ischemia injury requires caspase-3 activation in mice. Stroke. 2011;42:2302–7.PubMedCentralPubMedCrossRef

19.

Lapchak PA, Araujo DM, Weir CJ, Wei J, Zivin JA. Effects of intrathecal administration of a cell permeant caspase inhibitor, boc-d-fluoromethylketone (BDFMK), on behavioral deficits following spinal cord ischemia: a dose-response analysis. Brain Res. 2003;959:183–90PubMedCrossRef

20.

Smith PD, Puskas F, Meng X, Lee JH, Cleveland JC, Weyant MJ, Fullerton DA, Reece TB. The evolution of chemokine release supports a bimodal mechanism of spinal cord ischemia and reperfusion injury. Circulation. 2012;126:S110–7.PubMedCrossRef

21.

Bell MT, Puskas F, Agoston VA, Cleveland JC Jr, Freeman KA, Gamboni F, Herson PS, Meng X, Smith PD, Weyant MJ, Fullerton DA, Beece TB. Toll-like receptor 4-dependent microglial activation mediates spinal cord ischemia-reperfusion injury. Circulation. 2013;128:S152–6.PubMedCrossRef

22.

Smith PD, Bell MT, Puskas F, Meng X, Cleveland JC Jr, Weyant MJ, Fullerton DA, Reece TB. Preservation of motor function after spinal cord ischemia and reperfusion injury through microglial inhibition. Ann Thorac Surg. 2013;95:1647–53.PubMedCrossRef

23.

Coselli JS, LeMaire SA, Koksoy C, Schmittling ZC, Curling P. Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: results of a randomized clinical trial. J Vasc Surg. 2002;35:631–9.PubMedCrossRef

24.

Estrera AL, Miller CC III, Huynh TT, Azizzadh A, Porat EE, Vinnerkvist A, Ignacio C, Sheinbaum R, Safi HJ. Preoperative and operative predictors of delayed neurological deficit following repair of thoracoabdominal aortic aneurysm. J Thorac Cardiovasc Surg. 2003;126:1288–95.PubMedCrossRef

25.

Estrera AL, Sheinbaum R, Miller CC III, Harrison R, Safi HJ. Neuromonitor-guided repair of thoracoabdominal aortic aneurysms. J Thorac Cardiovasc Surg. 2010;140:S131–5.PubMedCrossRef

Titel: What should we do against delayed onset paraplegia following TEVAR?
verfasst von: Manabu Kakinohana
Publikationsdatum: 01.02.2014
Verlag: Springer Japan
Erschienen in: Journal of Anesthesia / Ausgabe 1/2014
Print ISSN: 0913-8668
Elektronische ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-013-1768-4

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

hier abonnieren

Springer Medizin

What should we do against delayed onset paraplegia following TEVAR?

Excerpt

Neu im Fachgebiet AINS

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

Update AINS

Springer Medizin

Excerpt

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2014

Development of takotsubo cardiomyopathy with severe pulmonary edema before a cesarean section

Learning curve of medical students in ultrasound-guided simulated nerve block

To assess the changes of tracheal cuff pressure after a calibrating orogastric tube insertion

Intravenous lipid rescue and ropivacaine systemic toxicity

Cervical spinal cord compression after thyroidectomy under general anesthesia

Suspected intraoperative formation of left atrial thrombus in a patient with atrial fibrillation receiving bridging anticoagulation therapy

Neu im Fachgebiet AINS

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

Update AINS