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The treatment of spinal cord ischemia following thoracic endovascular aortic repair. Neurocritical care McGarvey, M. L., Mullen, M. T., Woo, E. Y., Bavaria, J. E., Augoustides, Y. G., Messé, S. R., Cheung, A. T. 2007; 6 (1): 35-9

Abstract

Thoracic endovascular aortic repair (TEVAR) is a promising alternative to the traditional open surgical approach, though spinal cord ischemia remains a challenging complication. Spinal cord ischemia has been treated using lumbar cerebral spinal fluid (CSF) drainage.We report a case of delayed spinal cord ischemia that was successfully treated with vasopressor therapy alone, supporting aggressive blood pressure augmentation as a primary intervention to increase spinal cord perfusion.The pathophysiology of spinal cord ischemia after TEVAR is presented along with our treatment protocol.

View details for DOI 10.1385/NCC:6:1:35

View details for PubMedID 17356189