Recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass

Ischemia of the spinal cord remains a disastrous complication in thoracoabdominal aortic aneurysm (TAAA) surgery. We report a case of open type I TAAA repair during which no motor evoked potentials were detectable for >1 hour after aortic cross-clamping. The creation of three intercostal artery b...

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Autores principales: Gombert, Alexander, Grommes, Jochen, Hilkman, Danny, Kotelis, Drosos, Mess, Werner H., Jacobs, Michael J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Aortic aneurysm and dissection
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928281/
https://www.ncbi.nlm.nih.gov/pubmed/29725663
http://dx.doi.org/10.1016/j.jvscit.2017.12.004
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author Gombert, Alexander
Grommes, Jochen
Hilkman, Danny
Kotelis, Drosos
Mess, Werner H.
Jacobs, Michael J.
author_facet Gombert, Alexander
Grommes, Jochen
Hilkman, Danny
Kotelis, Drosos
Mess, Werner H.
Jacobs, Michael J.
author_sort Gombert, Alexander
collection PubMed
description Ischemia of the spinal cord remains a disastrous complication in thoracoabdominal aortic aneurysm (TAAA) surgery. We report a case of open type I TAAA repair during which no motor evoked potentials were detectable for >1 hour after aortic cross-clamping. The creation of three intercostal artery bypasses restored spinal cord perfusion. As the patient showed only moderate clinical signs of spinal cord ischemia afterward, we underline the role of neuromonitoring to guide intercostal artery bypass implantation during TAAA surgery as the combined use of neuromonitoring and intercostal artery bypass implantation may prevent paraplegia in specific TAAA cases.
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spelling pubmed-59282812018-05-03 Recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass Gombert, Alexander Grommes, Jochen Hilkman, Danny Kotelis, Drosos Mess, Werner H. Jacobs, Michael J. J Vasc Surg Cases Innov Tech Aortic aneurysm and dissection Ischemia of the spinal cord remains a disastrous complication in thoracoabdominal aortic aneurysm (TAAA) surgery. We report a case of open type I TAAA repair during which no motor evoked potentials were detectable for >1 hour after aortic cross-clamping. The creation of three intercostal artery bypasses restored spinal cord perfusion. As the patient showed only moderate clinical signs of spinal cord ischemia afterward, we underline the role of neuromonitoring to guide intercostal artery bypass implantation during TAAA surgery as the combined use of neuromonitoring and intercostal artery bypass implantation may prevent paraplegia in specific TAAA cases. Elsevier 2018-02-27 /pmc/articles/PMC5928281/ /pubmed/29725663 http://dx.doi.org/10.1016/j.jvscit.2017.12.004 Text en © 2018 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Aortic aneurysm and dissection
Gombert, Alexander
Grommes, Jochen
Hilkman, Danny
Kotelis, Drosos
Mess, Werner H.
Jacobs, Michael J.
Recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass
title Recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass
title_full Recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass
title_fullStr Recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass
title_full_unstemmed Recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass
title_short Recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass
title_sort recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass
topic Aortic aneurysm and dissection
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928281/
https://www.ncbi.nlm.nih.gov/pubmed/29725663
http://dx.doi.org/10.1016/j.jvscit.2017.12.004
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