Brain and spinal cord protection during simultaneous aortic arch and thoracoabdominal aneurysm repair Gottfried Mommertz, MD, Stephan Langer, MD, Thomas.

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Brain and spinal cord protection during simultaneous aortic arch and thoracoabdominal aneurysm repair Gottfried Mommertz, MD, Stephan Langer, MD, Thomas A. Koeppel, MD, Geert W. Schurink, MD, Werner H. Mess, MD, Michael J. Jacobs, MD, PhD Journal of Vascular Surgery Volume 49, Issue 4, Pages 886-892 (April 2009) DOI: 10.1016/j.jvs.2008.11.040 Copyright © 2009 Terms and Conditions

Fig 1 Perioperative image of simultaneous arch and TAAA repair in a young female patient with connective tissue disease. Patient underwent previous ascending aorta repair. The image shows the tube graft already anastomosed to the previous ascending graft and three separate grafts to the innominate artery, left carotid, and left subclavian arteries with selective perfusion catheters in the polyester branches, offering continuous antegrade perfusion. Journal of Vascular Surgery 2009 49, 886-892DOI: (10.1016/j.jvs.2008.11.040) Copyright © 2009 Terms and Conditions

Fig 2 Schematic drawing depicting “triple surveillance”, including electroencephalography (EEG), transcranial Doppler (TCD), and motor evoked potentials (MEPs). Journal of Vascular Surgery 2009 49, 886-892DOI: (10.1016/j.jvs.2008.11.040) Copyright © 2009 Terms and Conditions