Cerebrospinal Fluid Drainage for Prevention of Spinal Cord Ischemia in Thoracic Endovascular Aortic Surgery—Pros and Cons

Thoracic endovascular aortic repair (TEVAR) carries a risk of spinal cord ischemia (SCI) which exerts a devastating impact on patient's quality of life and life expectancy. Although routine prophylactic cerebrospinal fluid (CSF) drainage is not unequivocally supported by current data, several s...

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Autores principales: Ellauzi, Hesham, Arora, Harendra, Elefteriades, John A., Zaffar, Mohammad A., Ellauzi, Rama, Popescu, Wanda M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767776/
https://www.ncbi.nlm.nih.gov/pubmed/36539146
http://dx.doi.org/10.1055/s-0042-1757792
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author Ellauzi, Hesham
Arora, Harendra
Elefteriades, John A.
Zaffar, Mohammad A.
Ellauzi, Rama
Popescu, Wanda M.
author_facet Ellauzi, Hesham
Arora, Harendra
Elefteriades, John A.
Zaffar, Mohammad A.
Ellauzi, Rama
Popescu, Wanda M.
author_sort Ellauzi, Hesham
collection PubMed
description Thoracic endovascular aortic repair (TEVAR) carries a risk of spinal cord ischemia (SCI) which exerts a devastating impact on patient's quality of life and life expectancy. Although routine prophylactic cerebrospinal fluid (CSF) drainage is not unequivocally supported by current data, several studies have demonstrated favorable outcomes. Patients at high risk for SCI following TEVAR likely will benefit from prophylactic CSF drains. However, the intervention is not risk free, and thorough risk/benefit analysis should be individualized to each patient.
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spelling pubmed-97677762022-12-21 Cerebrospinal Fluid Drainage for Prevention of Spinal Cord Ischemia in Thoracic Endovascular Aortic Surgery—Pros and Cons Ellauzi, Hesham Arora, Harendra Elefteriades, John A. Zaffar, Mohammad A. Ellauzi, Rama Popescu, Wanda M. Aorta (Stamford) Thoracic endovascular aortic repair (TEVAR) carries a risk of spinal cord ischemia (SCI) which exerts a devastating impact on patient's quality of life and life expectancy. Although routine prophylactic cerebrospinal fluid (CSF) drainage is not unequivocally supported by current data, several studies have demonstrated favorable outcomes. Patients at high risk for SCI following TEVAR likely will benefit from prophylactic CSF drains. However, the intervention is not risk free, and thorough risk/benefit analysis should be individualized to each patient. Thieme Medical Publishers, Inc. 2022-12-20 /pmc/articles/PMC9767776/ /pubmed/36539146 http://dx.doi.org/10.1055/s-0042-1757792 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Ellauzi, Hesham
Arora, Harendra
Elefteriades, John A.
Zaffar, Mohammad A.
Ellauzi, Rama
Popescu, Wanda M.
Cerebrospinal Fluid Drainage for Prevention of Spinal Cord Ischemia in Thoracic Endovascular Aortic Surgery—Pros and Cons
title Cerebrospinal Fluid Drainage for Prevention of Spinal Cord Ischemia in Thoracic Endovascular Aortic Surgery—Pros and Cons
title_full Cerebrospinal Fluid Drainage for Prevention of Spinal Cord Ischemia in Thoracic Endovascular Aortic Surgery—Pros and Cons
title_fullStr Cerebrospinal Fluid Drainage for Prevention of Spinal Cord Ischemia in Thoracic Endovascular Aortic Surgery—Pros and Cons
title_full_unstemmed Cerebrospinal Fluid Drainage for Prevention of Spinal Cord Ischemia in Thoracic Endovascular Aortic Surgery—Pros and Cons
title_short Cerebrospinal Fluid Drainage for Prevention of Spinal Cord Ischemia in Thoracic Endovascular Aortic Surgery—Pros and Cons
title_sort cerebrospinal fluid drainage for prevention of spinal cord ischemia in thoracic endovascular aortic surgery—pros and cons
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767776/
https://www.ncbi.nlm.nih.gov/pubmed/36539146
http://dx.doi.org/10.1055/s-0042-1757792
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