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Surgical Management of Aortic Pathology pp 1127–1142Cite as

Monitoring Spinal Cord Function in Open and Endovascular Treatment of Thoracoabdominal Aortic Pathologies

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Abstract

Spinal cord ischemia is one of the most dreadful complications of thoracic and thoracoabdominal aortic surgery. The complex mechanisms of spinal cord perfusion under iatrogenic circumstances, such as surgery, are still not fully unraveled. Neuromonitoring during open and endovascular aortic surgery aims at assessing perioperative spinal cord function, allowing corrective measures in case of compromised spinal cord perfusion and thus reducing the incidence of postoperative spinal cord ischemia. The technique of motor evoked potentials is a reliable and highly accurate method to evaluate spinal cord integrity during thoracic and thoracoabdominal aortic repair.

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Authors and Affiliations

  1. European Vascular Center Aachen-Maastricht, Maastricht University Medical Center+, Maastricht, The Netherlands

    Barend Mees, Geert Willem Schurink, Noud Peppelenbosch & Michael Jacobs

  2. Department of Clinical Neurophysiology, Maastricht University Medical Center+, Maastricht, The Netherlands

    Werner Mess

Authors
  1. Barend Mees
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  2. Geert Willem Schurink
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  3. Noud Peppelenbosch
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  4. Werner Mess
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  5. Michael Jacobs
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Corresponding author

Correspondence to Barend Mees .

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Editors and Affiliations

  1. Fmr Royal Brompton Hospital, London, UK

    Olaf H. Stanger

  2. Royal Brompton Hospital, London, UK

    John R. Pepper

  3. Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA

    Lars G. Svensson

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Mees, B., Schurink, G.W., Peppelenbosch, N., Mess, W., Jacobs, M. (2019). Monitoring Spinal Cord Function in Open and Endovascular Treatment of Thoracoabdominal Aortic Pathologies. In: Stanger, O., Pepper, J., Svensson, L. (eds) Surgical Management of Aortic Pathology. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4874-7_79

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  • DOI: https://doi.org/10.1007/978-3-7091-4874-7_79

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  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-4872-3

  • Online ISBN: 978-3-7091-4874-7

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