Descending thoracic aortic aneurysm: surgical approach and treatment using the adjuncts cerebrospinal fluid drainage and distal aortic perfusion

2001 ◽  
Vol 72 (2) ◽  
pp. 481-486 ◽  
Author(s):  
Anthony L Estrera ◽  
Forrest S Rubenstein ◽  
Charles C Miller ◽  
Tam T.T Huynh ◽  
George V Letsou ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Aortic Aneurysm ◽  
Surgical Approach ◽  
Thoracic Aortic Aneurysm ◽  
Cerebrospinal Fluid Drainage ◽  
Descending Thoracic Aortic Aneurysm ◽  
Aortic Perfusion ◽  
Distal Aortic Perfusion

Cerebrospinal Fluid Drainage to Reverse Paraplegia After Endovascular Thoracic Aortic Aneurysm Repair

2000 ◽  
Vol 7 (2) ◽  
pp. 132-135 ◽  
Author(s):  
Kurt Tiesenhausen ◽  
Wilfried Amann ◽  
Günter Koch ◽  
Klaus A. Hausegger ◽  
Peter Oberwalder ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Aortic Aneurysm ◽  
Thoracic Aortic Aneurysm ◽  
Cerebrospinal Fluid Drainage ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Cerebrospinal Fluid Drainage to Reverse Paraplegia after Endovascular Thoracic Aortic Aneurysm Repair

2000 ◽  
Vol 7 (2) ◽  
pp. 132-135 ◽  
Author(s):  
Kurt Tiesenhausen ◽  
Wilfried Amann ◽  
Günter Koch ◽  
Klaus A. Hausegger ◽  
Peter Oberwalder ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Aortic Aneurysm ◽  
Neurological Deficit ◽  
Thoracic Aortic Aneurysm ◽  
Intrathecal Catheter ◽  
Descending Thoracic Aortic Aneurysm ◽  
Csf Drainage ◽  
Cord Injury ◽  
The Right ◽  
Aneurysm Repair

Purpose: To report a case of endovascular descending thoracic aortic aneurysm (TAA) repair in which delayed-onset paraplegia was reversed using cerebrospinal fluid (CSF) drainage. Methods and Results: A 74-year-old patient with a 6.0-cm TAA underwent endovascular stent-graft repair that involved overlapping placement of 3 Talent devices to cover the 31-cm-long defect. Twelve hours later, a neurological deficit occurred manifesting as left leg paralysis with paresis on the right. After urgent intrathecal catheter placement and drainage of cerebrospinal fluid for 48 hours, the neurological deficit resolved. The patient's clinical condition was normal and endoluminal exclusion of the TAA remained secure at 8-month follow-up. Conclusions: This case demonstrates the potential therapeutic role for CSF drainage to reduce the complications of spinal cord injury after endovascular thoracic aneurysm repair.

Spinal Cord Protection during Aortic Cross Clamping: Retrograde Venous Spinal Cord Perfusion, Distal Aortic Perfusion, and Cerebrospinal Fluid Drainage

2002 ◽  
Vol 36 (1) ◽  
pp. 6-10 ◽  
Author(s):  
Anders Winnerkvist ◽  
Stefano Bartoli ◽  
Dimitrios C. Iliopoulos ◽  
Kenneth R. Hess ◽  
Charles C. Miller ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Drainage ◽  
Spinal Cord Protection ◽  
Aortic Perfusion ◽  
Distal Aortic Perfusion
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