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Complications to Cerebrospinal Fluid Drainage and Predictors of Spinal Cord Ischemia in Patients With Aortic Disease Undergoing Advanced Endovascular Therapy

Mehmedagic, Irma ; Resch, Timothy and Acosta, Stefan LU orcid (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)
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author
; and
organization
publishing date
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}},
}