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Spinal Cord Injury in Thoracoabdominal Aneurysm Surgery: Methods of Intra-operative Protection of the Spinal Cord

  • E. P. Van Dongen
  • M. A. Schepens
  • E. H. Boezeman
Conference paper

Abstract

Aneurysms extending from the descending thoracic aorta into the abdominal aorta are classified as thoracoabdominal aneurysms. The first thoracoabdominal aortic aneurysm was replaced by a homograft in 1954 [1]. With the current anaesthetic practice and advances in operative techniques, respiratory management, intensive care and graft materials the 30 days in-hospital- mortality and morbidity have been improved, but are still high. A mortality range of 8–35%, an incidence of paraplegia/paraparesis of 16–38%, an incidence of renal failure of 18–27% and re-exploration for bleeding in 7% of the cases have been reported [2, 3, 4, 5, 6].

Keywords

Spinal Cord Injury Somatosensory Evoke Potential Spinal Cord Ischemia Anterior Spinal Artery Transcranial Electrical Stimulation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2002

Authors and Affiliations

  • E. P. Van Dongen
    • 1
  • M. A. Schepens
    • 2
  • E. H. Boezeman
    • 3
  1. 1.Department of Anaesthesiology and Intensive CareSt. Antonius HospitalNieuwegeinThe Netherlands
  2. 2.Department of Cardiothoracic SurgerySt. Antonius HospitalNieuwegeinThe Netherlands
  3. 3.Department of Clinical NeurophysiologySt. Antonius HospitalNieuwegeinThe Netherlands

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