Paraplegia prevention branches: A new adjunct for preventing or treating spinal cord injury after endovascular repair of thoracoabdominal aneurysms

Christos Lioupis, Marc Michel Corriveau, Kent S. MacKenzie, Daniel I. Obrand, Oren K. Steinmetz, Krassi Ivancev, Cherrie Z. Abraham

Research output: Contribution to journalArticle

33 Scopus citations

Abstract

In this report, we describe a technique that could potentially be used for both prevention and treatment of spinal cord ischemia (SCI) in endovascular repair of thoracoabdominal aneurysms. This technique involves using a specially designed endograft with side branches (paraplegia prevention branches [PPBs]), which are left patent to perfuse the aneurysmal sac and any associated lumbar or intercostal arteries in the early postoperative period. The use of PPBs with this technique is feasible and allows for a temporary controlled endoleak that may be useful for preventing or reversing spinal cord injury. This technique may be considered as an adjunct to the more standard perioperative physiological manipulations such as permissive hypertension and spinal fluid drainage.

Original languageEnglish (US)
Pages (from-to)252-257
Number of pages6
JournalJournal of vascular surgery
Volume54
Issue number1
DOIs
StatePublished - Jul 1 2011

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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