Complications to cerebrospinal fluid drainage and predictors of spinal cord ischemia in patients with aortic disease undergoing advanced endovascular therapy.

Abstract:

OBJECTIVE:To study the complications after cerebrospinal fluid (CSF) drainage and predictors of spinal cord ischemia (SCI) after advanced endovascular therapy with CSF drainage for complex aortic disease. METHODS:Between 2009 and 2012, 88 attempts of CSF drainage insertions/84 operations/83 patients, of the 658 operations for aortoiliac diseases, were performed. RESULTS:Indications for therapy were aortic dissection (n = 13) and aortic aneurysm (n = 70), of whom 38 had thoracoabdominal aortic aneurysm (TAAA). In all, 10 had ruptured aorta. The CSF drainages were inserted preoperatively (n = 75) and postoperatively (n = 9). In all, 14 CSF drainages were nonfunctioning. The SCI was present in 29 patients, transient/permanent in 12/17. Intraoperative circulatory instability (P = .001) and operation for TAAA, type II (P = .036), were associated with SCI. Meningitis (n = 1), epidural (n = 1), and subdural (n = 2) hematoma and needle-mediated paresis in 1 leg (n = 1) occurred after CSF drainage. CONCLUSIONS:Complication to CSF drainage occurred too frequently in this selected group of patients with high rate of SCI.

journal_name

Vasc Endovascular Surg

authors

Mehmedagic I,Resch T,Acosta S

doi

10.1177/1538574413495461

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

415-22

issue

6

eissn

1538-5744

issn

1938-9116

pii

1538574413495461

journal_volume

47

pub_type

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