A Modern Theory of Spinal Cord Ischemia/Injury in Thoracoabdominal Aortic Surgery and Its Implications for Prevention of Paralysis

2014 ◽  
Vol 28 (4) ◽  
pp. 1088-1099 ◽  
Author(s):  
Martha M. Wynn ◽  
C.W. Acher
Vascular ◽  
2016 ◽  
Vol 24 (4) ◽  
pp. 430-434 ◽  
Author(s):  
Reilly D Hobbs ◽  
Brant W Ullery ◽  
Allison R Mentzer ◽  
Albert T Cheung

Objective This manuscript was written to present a systemic protocol for the prevention, early detection, and treatment of spinal cord ischemia following open and endovascular thoracoabdominal aortic operations. Methods This protocol was a collaborative effort between surgeons, anesthesiologists and intensivists. It was implemented at our institution in November 2007. Nurses are trained to prevent, rapidly detect and ultimately aid in the treatment of spinal cord ischemia. Results Implementation of this protocol has aided in prevention, detection and treatment of spinal cord ischemia in patients after open and endovascular thoracoabdominal aortic operations. Conclusion Standardized care and reliance on trained nursing staff to monitor for symptoms following thoracoabdominal aortic operations are safe and aid in the rapid detection, treatment and reversal of spinal cord ischemia.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Feng Sun ◽  
Haiwei Zhang ◽  
Jianhui Shi ◽  
Tianwen Huang ◽  
Yansong Wang

Spinal cord ischemia/reperfusion (SCI/R) injury is a devastating complication usually occurring after thoracoabdominal aortic surgery. However, it remains unsatisfactory for its intervention by using pharmacological strategies. Oxidative stress is a main pharmacological process involved in SCI/R, which will elicit downstream programmed cell death such as the novel defined necroptosis. Astragalin is a bioactive natural flavonoid with a wide spectrum of pharmacological activities. Herein, we firstly evaluated the effect of astragalin to oxidative stress as well as the possible downstream necroptosis after SCI/R in mice. Our results demonstrated that astragalin improves the ethological score and histopathological deterioration of SCI/R mice. Astragalin mitigates oxidative stress and ameliorates inflammation after SCI/R. Astragalin blocks necroptosis induced by SCI/R. That is, the amelioration of astragalin to the motoneuron injury and histopathological changes. Indicators of oxidative stress, inflammation, and necroptosis after SCI/R were significantly blocked. Summarily, we firstly illustrated the protection of astragalin against SCI/R through its blockage to the necroptosis at downstream of oxidative stress.


Author(s):  
Jennifer C. Chung ◽  
Carly L. Lodewyks ◽  
Thomas L. Forbes ◽  
Michael W.A. Chu ◽  
Mark D. Peterson ◽  
...  

2019 ◽  
Vol 35 (10) ◽  
pp. S163-S164
Author(s):  
J. Chung ◽  
C. Lodewyks ◽  
T. Forbes ◽  
M. Chu ◽  
M. Peterson ◽  
...  

2010 ◽  
Vol 10 (6) ◽  
pp. 986-991 ◽  
Author(s):  
Nobuyoshi Kawaharada ◽  
Toshiro Ito ◽  
Tetsuya Koyanagi ◽  
Ryo Harada ◽  
Hideki Hyodoh ◽  
...  

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