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Correlations of cerebrospinal fluid pressure with hemodynamic parameters during thoracoabdominal aortic aneurysm repair.

Abstract：

:Central venous pressure (CVP) has long been thought to correlate with cerebrospinal fluid (CSF) pressure during thoracoabdominal aortic aneurysm repair. We examined hemodynamic factors during thoracoabdominal aortic aneurysm surgery to determine their relationship with CSF pressure and aortic cross-clamping. Hemodynamic parameters and CSF pressure were measured in 124 patients at six different stages during repair of descending thoracic or thoracoabdominal aortic aneurysms: skin incision, left lung collapse, pump on, aortic clamp on, aortic clamp off, and pump off. Stepwise multiple regression analysis was used for statistical analysis. CVP was a weak predictor for CSF pressure at the beginning of surgery and when the pump was initiated. At the onset of left lung collapse, cardiac output correlated with CSF pressure. There were no predictors during aortic cross-clamping. Model r2 values were low, ranging 0.03-0.15. We found no hemodynamic predictors of CSF pressure throughout the period of aortic cross-clamping during descending thoracic or thoracoabdominal aortic aneurysm surgery. Model r2 values were low, indicating generally poor prediction of CSF pressure.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Huynh TT,Miller CC 3rd,Estrera AL,Mohamed SG,Hassoun HT,Sheinbaum R,Porat EE,Safi HJ

doi

10.1007/s10016-005-5017-7

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

619-24

issue

5

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(06)61278-8

journal_volume

19

pub_type

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