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DOI: 10.1055/a-2318-5855
Cool-Shot Technique to Protect Spinal Cord during Thoracoabdominal Aortic Replacement
Abstract
Deep hypothermia helps protect the spinal cord, but is invasive. Here, we present a method to avoid reperfusion injury by selectively circulating cold blood under high pressure to the intercostal artery during reperfusion after intercostal artery reconstruction. Of the 23 patients who underwent thoracoabdominal aortic aneurysm open repair, one died. The motor evoked potential disappeared during aortic clamping in nine patients. Six patients recovered completely from aortic clamping release, two showed recovery >50% and one achieved full recovery 3 months later. Permanent motor impairment did not occur. This method could prevent reperfusion injury and paraplegia following thoracoabdominal aortic aneurysm surgery.
Keywords
thoracoabdominal aortic aneurysm - cool-shot technique - spinal cord protection - reperfusion injuryData Availability Statement
The data associated with this manuscript are not publicly available; however, they can be provided by the corresponding author upon reasonable request.
Publication History
Received: 14 January 2024
Accepted: 22 April 2024
Accepted Manuscript online:
03 May 2024
Article published online:
11 June 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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