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- Title
Complications to Cerebrospinal Fluid Drainage and Predictors of Spinal Cord Ischemia in Patients With Aortic Disease Undergoing Advanced Endovascular Therapy.
- Authors
Mehmedagic, Irma; Resch, Timothy; Acosta, Stefan
- Abstract
Objective: To study the complications after cerebrospinal fluid (CSF) drainage and predictors of spinal cord ischemia (SCI) after advanced endovascular therapy with CSF drainage for complex aortic disease. Methods: Between 2009 and 2012, 88 attempts of CSF drainage insertions/84 operations/83 patients, of the 658 operations for aortoiliac diseases, were performed. Results: Indications for therapy were aortic dissection (n ¼ 13) and aortic aneurysm (n ¼ 70), of whom 38 had thoracoabdominal aortic aneurysm (TAAA). In all, 10 had ruptured aorta. The CSF drainages were inserted preoperatively (n ¼ 75) and postoperatively (n ¼ 9). In all, 14 CSF drainages were nonfunctioning. The SCI was present in 29 patients, transient/permanent in 12/17. Intraoperative circulatory instability (P ¼ .001) and operation for TAAA, type II (P ¼ .036), were associated with SCI. Meningitis (n ¼ 1), epidural (n ¼ 1), and subdural (n ¼ 2) hematoma and needle-mediated paresis in 1 leg (n ¼ 1) occurred after CSF drainage. Conclusions: Complication to CSF drainage occurred too frequently in this selected group of patients with high rate of SCI.
- Subjects
VASCULAR surgery; ABDOMINAL aortic aneurysms; AORTIC diseases; BLOOD pressure measurement; CEREBROSPINAL fluid; CONFIDENCE intervals; EPIDEMIOLOGY; ISCHEMIA; SPINAL cord diseases; STATISTICS; LOGISTIC regression analysis; DATA analysis; PROPORTIONAL hazards models; DATA analysis software; MEDICAL drainage
- Publication
Vascular & Endovascular Surgery, 2013, Vol 47, Issue 6, p415
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574413495461