The risk of ischemic spinal cord injury in patients undergoing graft replacement for thoracoabdominal aortic aneurysms Klaus Grabitz, MD, Wilhelm Sandmann,

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Presentation transcript:

The risk of ischemic spinal cord injury in patients undergoing graft replacement for thoracoabdominal aortic aneurysms Klaus Grabitz, MD, Wilhelm Sandmann, MD, Klaus Stühmeier, MD, Bernd Mainzer, MD, E. Godehardt, PhD, MD, Barbara Ohle, TA, Ursula Hartwich, RN Journal of Vascular Surgery Volume 23, Issue 2, Pages 230-240 (February 1996) DOI: 10.1016/S0741-5214(96)70267-7 Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Three groups of patients at low, moderate, and high risk of developing neurologic deficit. Patients without loss of sSSEP did not develop neurologic deficit, whereas those with disappearance of sSSEPs were at highest risk. Journal of Vascular Surgery 1996 23, 230-240DOI: (10.1016/S0741-5214(96)70267-7) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Three groups of patients at low, moderate, and high risk of developing neurologic deficit. Patients who had total loss of sSSEP for <40 minutes did not have paraplegia and only 1 of 57 patients had paraparesis, whereas patients with very late or no return of sSSEPs had a >50% chance of neurologic deficit. Journal of Vascular Surgery 1996 23, 230-240DOI: (10.1016/S0741-5214(96)70267-7) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Spinal fluid pressure in 27 patients. Journal of Vascular Surgery 1996 23, 230-240DOI: (10.1016/S0741-5214(96)70267-7) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions