Regional hypothermia with epidural cooling for prevention of spinal cord ischemic complications after thoracoabdominal aortic surgery

James H. Black; J. Kenneth Davison; Richard P. Cambria

doi:10.1053/S1043-0679(03)00086-8

Regional hypothermia with epidural cooling for prevention of spinal cord ischemic complications after thoracoabdominal aortic surgery

James H. Black, J. Kenneth Davison, Richard P. Cambria

Research output: Contribution to journal › Review article › peer-review

33 Scopus citations

Abstract

Multiple operative adjuncts have been developed and clinically applied to reduce the incidence of spinal cord ischemic complications (SCI) after thoracoabdominal aneurysm (TAA) repair. Hypothermia is known to reduce oxygen requirements in central nervous tissue and has been successfully applied in the arena of central cardioaortic surgery. Based on our experimental and clinical results, we have employed regional hypothermia by epidural cooling to ameliorate SCI during TAA repair in over 300 patients. This review describes the results obtained in our experience using an approach to TAA repair whereupon the spinal cord is protected during surgery by regional hypothermia via epidural cooling.

Original language	English (US)
Pages (from-to)	345-352
Number of pages	8
Journal	Seminars in thoracic and cardiovascular surgery
Volume	15
Issue number	4
DOIs	https://doi.org/10.1053/S1043-0679(03)00086-8
State	Published - Oct 2003
Externally published	Yes

Keywords

Epidural cooling
Regional hyphothermia
Thoracoabdominal aneurysm repair

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1053/S1043-0679(03)00086-8

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title = "Regional hypothermia with epidural cooling for prevention of spinal cord ischemic complications after thoracoabdominal aortic surgery",

abstract = "Multiple operative adjuncts have been developed and clinically applied to reduce the incidence of spinal cord ischemic complications (SCI) after thoracoabdominal aneurysm (TAA) repair. Hypothermia is known to reduce oxygen requirements in central nervous tissue and has been successfully applied in the arena of central cardioaortic surgery. Based on our experimental and clinical results, we have employed regional hypothermia by epidural cooling to ameliorate SCI during TAA repair in over 300 patients. This review describes the results obtained in our experience using an approach to TAA repair whereupon the spinal cord is protected during surgery by regional hypothermia via epidural cooling.",

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AU - Black, James H.

AU - Davison, J. Kenneth

AU - Cambria, Richard P.

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N2 - Multiple operative adjuncts have been developed and clinically applied to reduce the incidence of spinal cord ischemic complications (SCI) after thoracoabdominal aneurysm (TAA) repair. Hypothermia is known to reduce oxygen requirements in central nervous tissue and has been successfully applied in the arena of central cardioaortic surgery. Based on our experimental and clinical results, we have employed regional hypothermia by epidural cooling to ameliorate SCI during TAA repair in over 300 patients. This review describes the results obtained in our experience using an approach to TAA repair whereupon the spinal cord is protected during surgery by regional hypothermia via epidural cooling.

AB - Multiple operative adjuncts have been developed and clinically applied to reduce the incidence of spinal cord ischemic complications (SCI) after thoracoabdominal aneurysm (TAA) repair. Hypothermia is known to reduce oxygen requirements in central nervous tissue and has been successfully applied in the arena of central cardioaortic surgery. Based on our experimental and clinical results, we have employed regional hypothermia by epidural cooling to ameliorate SCI during TAA repair in over 300 patients. This review describes the results obtained in our experience using an approach to TAA repair whereupon the spinal cord is protected during surgery by regional hypothermia via epidural cooling.

KW - Epidural cooling

KW - Regional hyphothermia

KW - Thoracoabdominal aneurysm repair

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Regional hypothermia with epidural cooling for prevention of spinal cord ischemic complications after thoracoabdominal aortic surgery

Abstract

Keywords

ASJC Scopus subject areas

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