Strategies to prevent TEVAR-related spinal cord ischemia

• Tipo: Outra Publicação em Revista Científica Internacional
• Data: 2017

Autores

Dias-Neto M (Autor) FMUP; Reis, PV (Autor) Outra; Rolim, D (Autor) Outra; Ramos, JF (Autor) Outra; Teixeira, JF (Autor) Outra; Sampaio S. (Autor) FMUP

Revista

Título: Vascular

Vol. 25

Páginas: 307-315

ISSN: 1708-5381

Editora: SAGE

Indexação

ISI Web of Knowledge - 15 Citações

Scopus - 19 Citações

Outras Informações

ID Authenticus: P-00M-8D8

DOI: 10.1177/1708538116671235

Abstract (EN): Spinal cord ischemia remains the Achilles' heel of thoracic and thoracoabdominal diseases management. Great improvements in morbidity and mortality have been obtained with the endovascular approach TEVAR (Thoracic Endovascular Aortic Repair) but this devastating complication continues to severely affect the quality of life, even if the primary success of the procedure - dissection/aneurysm exclusion - has been achieved. Several strategies to deal with this complication have been published in the literature over the time. Knowledge and technology have been evolving from identification of the risk factors associated with spinal cord ischemia, including lessons learned from open surgery, and from developments in the collateral network concept for spinal cord perfusion. In this comprehensive review, the authors cover several topics from the traditional measures comprising haemodynamic control, cerebrospinal drainage and neuroprotective drugs, to the staged-procedures approach, the emerging MISACE (minimally invasive selective segmental artery coil-embolization) and innovative neurologic monitoring such as NIRS (near-infrared spectroscopy) of the collateral network.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 9