Complications to Cerebrospinal Fluid Drainage and Predictors of Spinal Cord Ischemia in Patients With Aortic Disease Undergoing Advanced Endovascular Therapy
(2013) In Vascular and Endovascular Surgery 47(6). p.415-422- Abstract
- Objective: To study the complications after cerebrospinal fluid (CSF) drainage and predictors of spinal cord ischemia (SCI) after advanced endovascular therapy with CSF drainage for complex aortic disease. Methods: Between 2009 and 2012, 88 attempts of CSF drainage insertions/84 operations/83 patients, of the 658 operations for aortoiliac diseases, were performed. Results: Indications for therapy were aortic dissection (n = 13) and aortic aneurysm (n = 70), of whom 38 had thoracoabdominal aortic aneurysm (TAAA). In all, 10 had ruptured aorta. The CSF drainages were inserted preoperatively (n = 75) and postoperatively (n = 9). In all, 14 CSF drainages were nonfunctioning. The SCI was present in 29 patients, transient/permanent in 12/17.... (More)
- Objective: To study the complications after cerebrospinal fluid (CSF) drainage and predictors of spinal cord ischemia (SCI) after advanced endovascular therapy with CSF drainage for complex aortic disease. Methods: Between 2009 and 2012, 88 attempts of CSF drainage insertions/84 operations/83 patients, of the 658 operations for aortoiliac diseases, were performed. Results: Indications for therapy were aortic dissection (n = 13) and aortic aneurysm (n = 70), of whom 38 had thoracoabdominal aortic aneurysm (TAAA). In all, 10 had ruptured aorta. The CSF drainages were inserted preoperatively (n = 75) and postoperatively (n = 9). In all, 14 CSF drainages were nonfunctioning. The SCI was present in 29 patients, transient/permanent in 12/17. Intraoperative circulatory instability (P = .001) and operation for TAAA, type II (P = .036), were associated with SCI. Meningitis (n = 1), epidural (n = 1), and subdural (n = 2) hematoma and needle-mediated paresis in 1 leg (n = 1) occurred after CSF drainage. Conclusions: Complication to CSF drainage occurred too frequently in this selected group of patients with high rate of SCI. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4033756
- author
- Mehmedagic, Irma
; Resch, Timothy
and Acosta, Stefan
LU
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- endovascular therapy, thoracoabdominal aortic aneurysm, cerebrospinal, fluid drainage, spinal cord ischemia
- in
- Vascular and Endovascular Surgery
- volume
- 47
- issue
- 6
- pages
- 415 - 422
- publisher
- SAGE Publications
- external identifiers
-
- wos:000322770300002
- scopus:84881349659
- ISSN
- 1938-9116
- DOI
- 10.1177/1538574413495461
- language
- English
- LU publication?
- yes
- id
- b01801df-5acf-49c1-bc71-a90fff2214ae (old id 4033756)
- date added to LUP
- 2016-04-01 10:46:24
- date last changed
- 2022-03-12 08:50:00
@article{b01801df-5acf-49c1-bc71-a90fff2214ae, abstract = {{Objective: To study the complications after cerebrospinal fluid (CSF) drainage and predictors of spinal cord ischemia (SCI) after advanced endovascular therapy with CSF drainage for complex aortic disease. Methods: Between 2009 and 2012, 88 attempts of CSF drainage insertions/84 operations/83 patients, of the 658 operations for aortoiliac diseases, were performed. Results: Indications for therapy were aortic dissection (n = 13) and aortic aneurysm (n = 70), of whom 38 had thoracoabdominal aortic aneurysm (TAAA). In all, 10 had ruptured aorta. The CSF drainages were inserted preoperatively (n = 75) and postoperatively (n = 9). In all, 14 CSF drainages were nonfunctioning. The SCI was present in 29 patients, transient/permanent in 12/17. Intraoperative circulatory instability (P = .001) and operation for TAAA, type II (P = .036), were associated with SCI. Meningitis (n = 1), epidural (n = 1), and subdural (n = 2) hematoma and needle-mediated paresis in 1 leg (n = 1) occurred after CSF drainage. Conclusions: Complication to CSF drainage occurred too frequently in this selected group of patients with high rate of SCI.}}, author = {{Mehmedagic, Irma and Resch, Timothy and Acosta, Stefan}}, issn = {{1938-9116}}, keywords = {{endovascular therapy; thoracoabdominal aortic aneurysm; cerebrospinal; fluid drainage; spinal cord ischemia}}, language = {{eng}}, number = {{6}}, pages = {{415--422}}, publisher = {{SAGE Publications}}, series = {{Vascular and Endovascular Surgery}}, title = {{Complications to Cerebrospinal Fluid Drainage and Predictors of Spinal Cord Ischemia in Patients With Aortic Disease Undergoing Advanced Endovascular Therapy}}, url = {{http://dx.doi.org/10.1177/1538574413495461}}, doi = {{10.1177/1538574413495461}}, volume = {{47}}, year = {{2013}}, }