A New Intercostal Artery Management Strategy for Thoracoabdominal Aortic Aneurysm Repair

2009 ◽  
Vol 154 (1) ◽  
pp. 99-104 ◽  
Author(s):  
Matthew W. Mell ◽  
Martha M. Wynn ◽  
Scott B. Reeder ◽  
Girma Tefera ◽  
John R. Hoch ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Management Strategy ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Intercostal Artery ◽  
Thoracoabdominal Aortic Aneurysm Repair ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Somatosensory-Evoked Potential–Guided Intercostal Artery Reimplantation in Thoracoabdominal Aortic Aneurysm Surgery

2013 ◽  
Vol 8 (4) ◽  
pp. 302-306 ◽  
Author(s):  
Jain Bhaskara Pillai ◽  
Yonni Pellet ◽  
Georgia Panagopoulos ◽  
Mostafa A. Sadek ◽  
Djamila Abjigitova ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Spinal Cord Ischemia ◽  
Group Versus ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Intercostal Artery ◽  
Thoracoabdominal Aortic Aneurysm Repair ◽  
Aortic Aneurysm Surgery ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Objective This study was undertaken to evaluate the use of somatosensory-evokedpotential (SSEP) monitoring on intercostal artery reimplantation (IAR) and spinal cord ischemia rates during thoracoabdominal ortic aneurysm repair. Methods Fifty-two patients had thoracoabdominal aortic aneurysm repair with IAR under SSEP guidance and 79 patients had repair with routine IAR without SSEP guidance from 1999 to 2010. Results No differences were observed between the two groups in age (63.1 ± 11.6 vs 64.8 ± 9.8 years), sex (57.7% vs 50.6% men), chronic dissections (40.4% vs 44.3%), renal insufficiency (11.5% vs 10.1%), and Crawford type 1 and 2 aneurysms (53.9% vs 53.9%). There was one case (1.9%) of immediate paraplegia and one case (1.9%) of delayed paraplegia in the SSEP group versus 2 cases (2.5%) of immediate paraplegia in the non-SSEP group ( P = 0.92). In the SSEP group, 38 patients (73.1%) had SSEP changes, but only 15 (28.8%) required reimplantation. There were fewer IARs in the SSEP group compared with the non-SSEP group (28.8% vs. 59.5%, P = 0.004). No difference was observed in 30-day mortality between the SSEP and the non-SSEP group (3.9% vs. 7.6%, P = 0.48). Conclusions The use of SSEP monitoring led to a significant decrease in the need for IAR without increasing the paraplegia rate.

scholarly journals Importance of intercostal artery reattachment during thoracoabdominal aortic aneurysm repair

1998 ◽  
Vol 27 (1) ◽  
pp. 58-68 ◽  
Author(s):  
Hazim J. Safi ◽  
Charles C. Miller ◽  
Christian Carr ◽  
Dimitrios C. Iliopoulos ◽  
Douglas A. Dorsay ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Intercostal Artery ◽  
Thoracoabdominal Aortic Aneurysm Repair ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair
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