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Reproducible Motor Deficit Following Aortic Occlusion in a Rat Model Of Spinal Cord Ischemia
Published on: July 22, 2017
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Spinal cord ischemia after aortic surgery.
1Faculty of Medicine, University of Belgrade Belgrade, Serbia - davidovic.lazar@gmail.com.
The Journal of Cardiovascular Surgery
|July 15, 2014
Summary
Spinal cord ischemia (SCI) can cause paraplegia after aortic surgery. This review explores SCI causes and protective measures like revascularization and blood pressure management to prevent paralysis.
Area of Science:
- Neurology
- Vascular Surgery
- Anatomy
Background:
- Spinal cord ischemia (SCI) is a serious complication of aortic surgery.
- Paraplegia can result from SCI, significantly impacting patient outcomes.
- Understanding the anatomical and physiological basis of SCI is crucial for prevention.
Purpose of the Study:
- To discuss the etiology and mechanisms of spinal cord ischemia (SCI) leading to paraplegia during aortic repair.
- To review protective measures for preventing SCI during open and endovascular aortic surgery.
- To evaluate the evidence and practical application of various SCI prevention strategies.
Main Methods:
- Anatomical and physiological review of SCI mechanisms.
- Discussion of protective adjuncts including revascularization, blood pressure management, and cerebrospinal fluid drainage.
- Exploration of emerging techniques like NIRS and MISACE.
Main Results:
- Multiple factors contribute to SCI during aortic surgery.
- Revascularization of intercostal arteries, maintaining high mean blood pressure, and spinal cord drainage are key protective strategies.
- Newer methods like NIRS and MISACE show promise but require further validation.
Conclusions:
- Effective prevention of SCI-induced paraplegia requires a multi-faceted approach.
- Combining established protective measures with novel techniques may further reduce the risk of paralysis after aortic surgery.
- Continued research into SCI etiology and prevention is essential.
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