Work

Commentary: The aggregation of marginal gains for spinal cord protection

Year: 2020

Type: editorial

Abstract: In the seminal report of E. Stanley Crawford's experience with 1509 patients with thoracoabdominal aortic aneurysm (TAAA) who underwent surgery from 1960 to 1991, the incidence of spinal cord injury (SCI) with paraplegia was 16% for all TAAA repairs and 31% for extent II TAAA repairs.1 Yet Crawford and colleagues persisted. After almost 4 decades and many advances in spinal cord protection, including left heart bypass, mild hypothermia, cerebrospinal fluid drainage (CSFD), and reimplantation of intercostal or lumbar arteries, the modern rate of permanent SCI now approaches 5% for TAAA repairs as a whole and 8% for extent II cases.

Source: JTCVS Techniques

DOI: 10.1016/j.xjtc.2020.12.031

Authors: Subhasis Chatterjee, Ourania Preventza, Joseph S. Coselli

Institution: Baylor College of Medicine

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,553