Abstract
Neurologic deficits represent a dramatic complication after thoracic and thoracoabdominal aneurysm repair and are associated with a higher mortality rate. In multicentre series, thoracic endovascular aortic repair (TEVAR) has been associated with lower paraplegia rates compared to open series ranging from 1 to 3 % (Buth et al. 2007; Makaroun et al. 2005; Matsumura et al. 2008). Recent meta-analysis data reported a major neurologic complication of 5.4 % vs. 14 % with a 30 % reduction risk of paraplegia for endografts cohorts (Walsh et al. 2008). Paraplegia pathophysiology was firstly focused on the integrity of the artery of Adamkiewicz (see Fig. 6.1).
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Kpodonu, J., Haulon, S. (2013). Spinal Cord Protection. In: Kpodonu, J., Haulon, S. (eds) Atlas of Advanced Endoaortic Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4027-6_6
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DOI: https://doi.org/10.1007/978-1-4471-4027-6_6
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