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 journalReview article

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 languageEnglish (US)
Pages (from-to)345-352
Number of pages8
JournalSeminars in thoracic and cardiovascular surgery
Volume15
Issue number4
DOIs
StatePublished - Oct 2003
Externally publishedYes

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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