Regional hypothermia with epidural cooling for spinal cord protection during thoracoabdominal aneurysm repair.

Abstract:

:Several techniques have been developed and clinically applied to reduce the spinal cord ischemia complications that follow thoracoabdominal aortic aneurysm (TAA) repair. Hypothermia as a protective adjunct is a concept that has been used throughout the evolution of cardiac and central aortic surgery. Because experimental regional hypothermic perfusion delivered directly to the epidural or intrathecal space showed protective effects against cord injury, we developed and applied a method for providing regional cord hypothermia with epidural cooling during TAA repair. This review describes the technical considerations with epidural cooling and the clinical results obtained in our experience.

journal_name

Semin Vasc Surg

authors

Cambria RP,Davison JK

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

315-24

issue

4

eissn

0895-7967

issn

1558-4518

pii

S0895-7967(00)70009-3

journal_volume

13

pub_type

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