nach oben

Erschienen in:

09.09.2016 | Review Article

Systematic review of motor evoked potentials monitoring during thoracic and thoracoabdominal aortic aneurysm open repair surgery: a diagnostic meta-analysis

verfasst von: Yuu Tanaka, Masahiko Kawaguchi, Yoshinori Noguchi, Kenji Yoshitani, Mikito Kawamata, Kenichi Masui, Takeo Nakayama, Yoshitugu Yamada

Erschienen in: Journal of Anesthesia | Ausgabe 6/2016

Einloggen, um Zugang zu erhalten

Abstract

Motor evoked potential (MEP) monitoring has been used to prevent neurological complications such as paraplegia in patients who underwent thoracic or thoracoabdominal aortic aneurysm (TAA/TAAA) surgery. The object of this study was making a systematic review to survey the performance of MEP monitoring during TAA/TAAA open repair surgery. We searched electronic databases for relevant studies. We summarized the diagnostic data with summary sensitivity, summary specificity and forest plots of pooled sensitivity, and conducted sub-group analysis. The quality of the studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool. We also surveyed the reporting rate of clinical key factors such as methods of anesthesia, surgery, and success rate of MEP. Nineteen studies met our criteria. The results of meta-analysis showed 89.1 % summary sensitivity (95 % confidence interval 47.9–98.6 %) and 99.3 % summary specificity (95 % confidence interval 96.1–99.9 %). Sub-group analysis of pooled sensitivity and specificity by all-or-none cut-off point were better than other cut-off points. The results of the QUADAS-2 were not good. The performance of MEP monitoring was good for detecting postoperative paraplegia in TAA/TAAA open repair surgery. The cut-off point of all-or-none may be the best, according to our review.

Nur mit Berechtigung zugänglich

Verhoeven EL, Tielliu IF, Ferreira M, Zipfel B, Adam DJ. Thoracoabdominal aortic aneurysm branched repair. J Cardiovasc Surg. 2010;51:149–55.

Jacobs MJ, Mommertz G, Koeppel TA, Langer S. Surgical repair of thoracoabdominal aortic aneurysms. J Cardiovasc Surg. 2007;487:49–58.

Horiuchi TKM, 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.CrossRefPubMed

Kawaguchi M, Kawamata M, Yamada Y. Improvement of motor-evoked potentials monitoring is required during thoracic or thoracoabdominal aortic aneurysm surgery under hypothermic cardiopulmonary bypass. J Anesth. 2012;26:157–9.CrossRefPubMed

Kakinohana M, Nakamura S, Fuchigami T, Miyata Y, Sugahara K. Influence of the descending thoracic aortic cross clamping on bispectral index value and plasma propofol concentration in humans. Anesthesiology. 2006;104:939–43.CrossRefPubMed

Shinzawa M, Yoshitani K, Minatoya K, Irie T, Ogino H, Ohnishi Y. Changes of motor evoked potentials during descending thoracic and thoracoabdominal aortic surgery with deep hypothermic circulatory arrest. J Anesth. 2012;26:160–7.CrossRefPubMed

Moher D, Liberati A, Tetzlaff J, Douglas G, Altman DG for the PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009;339:332–3.CrossRef

Higgins JPT, Green S (editors). Cochrane handbook for systematic reviews of interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from http://www.cochrane-handbook.org. Accessed 1 Sep 2012.

Whiting PF, Rutjes AW, Westwood ME, Mallett S, Deeks JJ, Reitsma JB, Leeflang MM, Sterne JA, Bossuyt PM, QUADAS-2 Group. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011;18(155):529–36.CrossRef

10.

Metcalfe JZ, Everett CK, Steingart KR, Cattamanchi A, Huang L, Hopewell PC, Pai M. Interferon-γ release assays for active pulmonary tuberculosis diagnosis in adults in low- and middle-income countries: systematic review and meta-analysis. J Infect Dis. 2011;204:S1120–9.CrossRefPubMedPubMedCentral

11.

Kung J, Chiappelli F, Cajulis OO, Avezova R, Kossan G, Chew L, Maida CA. From systematic reviews to clinical recommendations for evidence-based health care: validation of revised assessment of multiple systematic reviews (R-AMSTAR) for grading of clinical relevance. Open Dent J. 2010;16(4):84–91.

12.

Ohono T, Yamamoto A, Nakamura E, Hosokawa Y, Tobinaga S, Onitsika S, Sawada K, Hiromatsu S, Akashi H, Tanaka H. Usefulness of transcranial evoked potentials during aortic operation for the decending and thracoabdominal aneurysm. Kekkan Geka. 2013;32:116–23.

13.

Greiner A, Mess WH, Schmidli J, Debus ES, Grommes J, Dick F, Jacobs MJ. Cyber medicine enables remote neuromonitoring during aortic surgery. J Vasc Surg. 2012;55:1227–32.CrossRefPubMed

14.

Fudickar A, Leiendecker J, Meybohm P, Siggelkow M, Cremer J, Steinfath M, Bein B. Electrophysiologic neuromonitoring during repair of the thoracoabdominal aorta by anesthesiologists. Minerva Anesthesiol. 2011;77:861–9.

15.

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

16.

Kawaharada N, Ito T, Koyanagi T, Harada R, Hyodoh H, Kurimoto Y, Watanabe A, Higami T. Spinal cord protection with selective spinal perfusion during descending thoracic and thoracoabdominal aortic surgery. Interact Cardiovasc Thorac Surg. 2010;10:986–91.CrossRefPubMed

17.

Min HK, Sung K, Yang JH, Kim WS, Jun TG, Lee YT, Park PW, Park BJ. Can intraoperative motor-evoked potentials predict all the spinal cord ischemia during moderate hypothermic beating heart descending thoracic or thoracoabdominal aortic surgery? J Card Surg. 2010;25:542–7.CrossRefPubMed

18.

Keyhani K, Miller CC, Estrera AL, Wegryn T, Sheinbaum R, Safi HJ. Analysis of motor and somatosensory evoked potentials during thoracic and thoracoabdominal aortic aneurysm repair. J Vasc Surg. 2009;49:36–41.CrossRefPubMed

19.

Etz CD, Di Luozzo G, Zoli S, Lazala R, Plestis KA, Bodian CA, Griepp RB. Direct spinal cord perfusion pressure monitoring in extensive distal aortic aneurysm repair. Ann Thorac Surg. 2009;87:1773–4.CrossRef

20.

Shine TS, Harrison BA, Ruyter DML, Crook JE, Heckman M, Daube JR, Stapelfeldt WH, Cherry KJ, Gloviczki P, Bower TC, Murray MJ. Motor and somatosensory evoked potentials: their role in predicting spinal cord ischemia in patients undergoing thoracoabdominal aortic aneurysm repair with regional lumbar epidural cooling. Anesthesiology. 2008;108:580–7.CrossRefPubMed

21.

Kawanishi Y, Munakata H, Matsumori M, Tanaka H, Yamashita T, Nakagiri K, Okada K, Okita Y. Usefulness of transcranial motor-evoked potentials during thoracoabdominal aortic surgery. Ann Thorac Surg. 2007;83:456–61.CrossRefPubMed

22.

Ogino H, Sasaki H, Minatoya K, Matsuda H, Yamada N, Kitamura S. Combined use of Adamkiewicz artery demonstration and motor-evoked potentials in descending and thoracoabdominal repair. Ann Thorac Surg. 2006;82:592–6.CrossRefPubMed

23.

Etz CD, Halstead JC, Spielvogel D, Shahani R, Lazala R, Homann TM, Weisz DJ, Plestis K, Griepp RB. Thoracic and thoracoabdominal aneurysm repair: is reimplantation of spinal cord arteries a waste of time? Ann Thorac Surg. 2006;82:1670–7.CrossRefPubMed

24.

Jacobs MJ, Mess W, Mochtar B, Nijenhuis RJ, Statius van Eps RG, Schurink GW. The value of motor-evoked potentials in reducing paraplegia during thoracoabdominal aneurysm repair. J Vasc Surg. 2006;43:239–46.CrossRefPubMed

25.

Weigang E, Hartert M, von Samson P, Sircar R, Pitzer K, Genstorfer J, Zentner J, Beyersdorf F. Thoracoabdominal aortic aneurysm repair: interplay of spinal cord protecting modalities. Eur J Vasc Endovasc Surg. 2005;30:624–31.CrossRefPubMed

26.

Jacobs MJ, Elenbaas TW, Schurink GWH, Mess WH, Mochtar B. Assessment of spinal cord integrity during thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 2002;74:s1864–6.CrossRefPubMed

27.

MacDonald DB, Janusz M. An approach to intraoperative neurophysiologic monitoring of thoracoabdominal aneurysm surgery. J Clin Neurophysiol. 2002;19:43–54.CrossRefPubMed

28.

Dong CCJ, MacDonald DB, Janusz MT. Intraoperative spinal cord monitoring during descending thoracic and thoracoabdominal aneurysm surgery. Ann Thorac Surg. 2002;74:S1873–6.CrossRefPubMed

29.

de Haan P, Kalkman CJ, de Mol BA, Ubags LH, Veldman DJ, Jacobs MJ. Efficacy of transcranial motor-evoked myogenic potentials to detect spinal cord ischemia during operations for thoracoabdominal aneurysms. J Thorac Cardiovasc Surg. 1997;113:87–101.CrossRefPubMed

30.

Sloan TB, Jameson LC. Electrophysiologic monitoring during surgery to repair the thoracoabdominal aorta. J Clin Neurophysiol. 2007;24:316–27.PubMed

31.

Takahashi S, Orihashi K, Imai K, Mizukami T, Takasaki T, Sueda T. Cold blood spinoplegia under motor-evoked potential monitoring during thoracic aortic surgery. J Thorac Cardiovasc Surg. 2011;141:755–61.CrossRefPubMed

32.

Hamaishi M, Orihashi K, Takahashi S, Isaka M, Okada K, Sueda T. Transcranial motor-evoked potentials following intra-aortic cold blood infusion facilitates detection of critical supplying artery of spinal cord. Eur J Cardiothorac Surg. 2008;33:695–9.CrossRefPubMed

33.

Sueda T, Okada K, Orihashi K, Sugawara Y, Kouchi K, Imai K. Cold blood spinal cord plegia for prediction of spinal cord ischemia during thoracoabdominal aneurysm repair. Ann Thorac Surg. 2002;73:1155–9.CrossRefPubMed

34.

Sueda T, Okada K, Watari M, Orihashi K, Shikata H, Matsuura Y. Evaluation of motor- and sensory-evoked potentials for spinal cord monitoring during thoracoabdominal aortic aneurysm surgery. Jpn J Thorac Cardiovasc Surg. 2000;48:60–5.CrossRefPubMed

35.

Sueda T, Morita S, Okada K, Orihashi K, Shikata H, Matsuura Y. Selective intercostal arterial perfusion during thoracoabdominal aortic aneurysm surgery. Ann Thorac Surg. 2000;70:44–7.CrossRefPubMed

36.

Zoli S, Roder F, Etz CD, Brenner RM, Bodian CA, Lin HM, Di Luozzo G, Griepp RB. Predicting the risk of paraplegia after thoracic and thoracoabdominal aneurysm repair. Ann Thorac Surg. 2010;90:1237–45.CrossRefPubMed

37.

Mommertz G, Langer S, Koeppel TA, Schurink GW, Mess WH, Jacobs MJ. Brain and spinal cord protection during simultaneous aortic arch and thoracoabdominal aneurysm repair. J Vasc Surg. 2009;49:886–92.CrossRefPubMed

38.

Backes WH, Nijenhuis RJ, Mess WH, Wilmink FA, Schurink GW, Jacobs MJ. Magnetic resonance angiography of collateral blood supply to spinal cord in thoracic and thoracoabdominal aortic aneurysm. J Vasc Surg. 2008;48:261–71.CrossRefPubMed

39.

Minatoya K, Oigino H, Matsuda H, Sasaki H, Yagihara T, Kitamura S. Replacement of the descending aorta: recent outcomes of open surgery performed with partial cardiopulmonary bypass. J Thorac Cardiovasc Surg. 2008;136:431–5.CrossRefPubMed

40.

Nijenhuis RJ, Jacobs MJ, Schurink GW, Kessels AG, van Engelshoven JM, Backes H. Magnetic resonance angiography and neuromonitoring to assess spinal cord blood supply in thoracic and thoracoabdominal aortic aneurysm surgery. J Vasc Surg. 2007;45:71–7.CrossRefPubMed

41.

Weigang E, Hartlet M, Samson P, Pechstein U, Genstorfer J, Pitzer K, Zentner J, Beyersdorf F. Improved spinal cord perfusion during thoracoabdominal aortic repair. Thorac Cardiovasc Surg. 2005;53:69–73.CrossRefPubMed

42.

Lases EC, Schepens MA, Haas FJ, Aarts LP, ter Beek HT, van Dongen EP, Siegers HP, van der Tweel I, Boezeman EH. Clinical prospective study of biochemical markers and evoked potentials for identifying adverse neurologic outcome after thoracic and thoracoabdominal aortic aneurysm surgery. Br J Anaesth. 2005;53:651–61.CrossRef

43.

Hanafusa Y, Okada K, Mimura T, Kawanishi Y, Osaki Y, Yamamura T, Tuji Y, Okita Y. Surgical treatment for thoracoabdominal aortic aneurysm. Kyobu Geka. 2004;54:313–7.

44.

Jacobs MJ, de Mol BA, Elenbaas T, Mess WH, Kalkman CJ, Schurink GW, Mochtar B. Spinal cord blood supply in patients with thoracoabdominal aortic aneurysms. J Vasc Surg. 2002;35:30–7.CrossRefPubMed

45.

Jacobs MJ, Meylaerts SA, de Haan P, de Mol BA, Kalkman CJ. Assessment of spinal cord ischemia by means of evoked potential monitoring during thoracoabdominal aortic surgery. Semin Vasc Surg. 2000;13:299–307.PubMed

46.

Meylaerts SA, Jacobs MJ, van Iterson V, de Haan P, Kalkman CJ. Comparison of transcranial motor-evoked potentials and somatosensory evoked potentials during thoracoabdominal aortic aneurysm repair. Ann Surg. 1999;230:742–9.CrossRefPubMedPubMedCentral

47.

Jacobs MJ, Meylaerts SA, de Haan P, de Mol BA, Kalkman CJ. Strategies to prevent neurologic deficit based on motor-evoked potentials in type I and II thoracoabdominal aortic aneurysm repair. J Vasc Surg. 1999;29:48–59.CrossRefPubMed

48.

Genstorfer J, Samson VP, Pitzer K, Sircar R, Luehr M, Weigang E. Evozierte Potentiale in der Aortenchirurgie. Zeitschrift Herz Thorax Gefäßchirurgie. 2005;19:149–55.CrossRef

49.

Greiner A, Mess WH, Schmidli J, Debus ES, Grommes J, Dick F, Jacobs MJ. Moglichkeiten des grenzuberschreitenden Telemonitorings bei Ersatzoperationen des Ersatoperationen des thorakoabdominellen Aortenaneurysmas. Gefasschirurgie. 2010;15:311–6.CrossRef

50.

Weigang E, Sircar R, von Samson P, Hartert M, Siegenthaler MP, Luehr M, Richter H, Szabó G, Czerny M, Zentner J, Beyersdorf F. Efficacy and frequency of cerebrospinal fluid drainage in operative management of thoracoabdominal aortic aneurysm. Thorac Cardiovasc Surg. 2007;55:73–8.CrossRefPubMed

51.

Schepens M, Dossche K, Morshuis W, Heijmen R, van Dongen E, Ter Beek H, Kelder H, Boezeman E. Introduction of adjuncts and their influence on changing results in 402 consecutive thoracoabdominal aortic aneurysm repairs. Eur J Cardiothorac Surg. 2004;25:701–7.CrossRefPubMed

52.

Gloviczki P. Surgical repair of thoracoabdominal aneurysms: patient selection, techniques and results. Cardiovasc Surg. 2002;10:434–41.CrossRefPubMed

53.

Koja K, Kuniyoshi Y, Miyagi K, Uezu T, Arakaki K, Yamashiro S, Mabuni K, Nagano T, Senaha E, Kakinohana M. Spinal cord protection during thoracoabdominal aortic aneurysm repair; efficacy of distal aortic perfusion and segmental aortic clamping. Kyobu Geka. 2004;57:268–73.PubMed

54.

Kunihara T, Siiya N, Yasuda K. Strategy for spinal cord protection during thoracoabdominal aortic surgery. Kyobu Geka. 2004;57:319–24.PubMed

55.

Etz CD, Zoli S, Mueller CS, Bodian CA, Di Luozzo G, Lazala R, Plestis KA, Griepp RB. Staged repair significantly reduces paraplegia rate after extensive thoracoabdominal aortic aneurysm repair. J Thorac Cardiovasc Surg. 2010;139:1464–72.CrossRefPubMed

56.

van Dongen EP, ter Beek HT, Schepens MA, Morshuis WJ, Haas FJ, de Boer A, Boezeman EH, Aarts LP. The relationship between evoked potentials and measurement of s-100 protein in cerebrospinal fluid during and after thoracoabdominal aortic aneurysm surgery. J Vasc Surg. 1999;30:293–300.CrossRefPubMed

57.

Conrad MF, Ergul EA, Patel VI, Cambria MR, Lamuraglia GM, Simon M, Cambria RP. Evolution of operative strategies in open thoracoabdominal aneurysm repair. J Vasc Surg. 2011;53:1195–201.CrossRefPubMed

58.

Lancaster RT, Conrad MF, Patel VI, Cambria MR, Ergul EA, Cambria RP. Further experience with distal aortic perfusion and motor-evoked potential monitoring in the management of extent I-III thoracoabdominal aortic anuerysms. J Vasc Surg. 2013;58:283–90.CrossRefPubMed

59.

Fehlings MG, Brodke DS, Norvell DC, Jaseph R, Dettori JR. The evidence for intraoperative neurophysiological monitoring in spine surgery: does it make a difference? SPINE. 2010;35:S37–46.CrossRefPubMed

60.

Schepens MA, Heijmen RH, Ranschaert W, Sonker U, Morshuis WJ. Thoracoabdominal aortic aneurysm repair: results of conventional open surgery. Eur J Vasc Endovasc Surg. 2009;37:640–5.CrossRefPubMed

61.

van Dongen EP, ter Beek HT, Schepens MA, Morshuis WJ, Langemeijer HJ, de Boer A, Boezeman EH. Within-Patient Variability of Myogenic Motor-Evoked Potentials to Multipulse Transcranial Electrical Stimulation During Two Levels of Partial Neuromuscular Blockade in Aortic Surgery. Anes Analg. 1999;88(1):22–7.

Titel: Systematic review of motor evoked potentials monitoring during thoracic and thoracoabdominal aortic aneurysm open repair surgery: a diagnostic meta-analysis
verfasst von: Yuu Tanaka
Masahiko Kawaguchi
Yoshinori Noguchi
Kenji Yoshitani
Mikito Kawamata
Kenichi Masui
Takeo Nakayama
Yoshitugu Yamada
Publikationsdatum: 09.09.2016
Verlag: Springer Japan
Erschienen in: Journal of Anesthesia / Ausgabe 6/2016
Print ISSN: 0913-8668
Elektronische ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-016-2242-x

Neu im Fachgebiet AINS

18.04.2024 | Wirbelsäulenmetastase | Nachrichten

Update AINS

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

hier abonnieren

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Systematic review of motor evoked potentials monitoring during thoracic and thoracoabdominal aortic aneurysm open repair surgery: a diagnostic meta-analysis

Abstract

Neu im Fachgebiet AINS

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Hochrisiko-Eingriffe für postoperative Übelkeit

Diclofenac-Gel versus Ibuprofen bei akuten Rückenschmerzen

Update AINS

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

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

Weitere Artikel der Ausgabe 6/2016

Sepsis and the orexin system

Beta-blockers in vascular surgery patients: is the debate still going on?

A sequential anesthesia technique for surgical repair of unilateral vocal fold paralysis

TRPV4 ion channel as important cell sensors

Sevoflurane preconditioning in on-pump coronary artery bypass grafting: a meta-analysis of randomized controlled trials

Possible association between successful intubation via the right nostril and anatomical variations of the nasopharynx during nasotracheal intubation: a multiplanar imaging study

Neu im Fachgebiet AINS

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Hochrisiko-Eingriffe für postoperative Übelkeit

Diclofenac-Gel versus Ibuprofen bei akuten Rückenschmerzen

Update AINS