Recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass Alexander Gombert, MD, Jochen.

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Recovery of lost motor evoked potentials in open thoracoabdominal aortic aneurysm repair using intercostal artery bypass Alexander Gombert, MD, Jochen Grommes, MD, Danny Hilkman, MD, Drosos Kotelis, MD, Werner H. Mess, MD, PhD, Michael J. Jacobs, MD, PhD Journal of Vascular Surgery Cases and Innovative Techniques Volume 4, Issue 1, Pages 54-57 (March 2018) DOI: 10.1016/j.jvscit.2017.12.004 Copyright © 2018 The Author(s) Terms and Conditions

Fig 1 Computed tomography (CT) angiography in the sagittal plane showing kinked type I thoracoabdominal aortic aneurysm (TAAA) with a maximum diameter of 8.1 cm. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 54-57DOI: (10.1016/j.jvscit.2017.12.004) Copyright © 2018 The Author(s) Terms and Conditions

Fig 2 Type I thoracoabdominal aortic aneurysm (TAAA) repair using 22-mm Gelweave prosthesis (Vascutek, Inchinnan, United Kingdom). Three intercostal artery bypasses are indicated. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 54-57DOI: (10.1016/j.jvscit.2017.12.004) Copyright © 2018 The Author(s) Terms and Conditions

Fig 3 The report of the motor evoked potentials (MEPs) shows a significant decrease of the potentials starting 5 minutes after aortic cross-clamping. After implantation of three intercostal artery bypasses, a complete recovery of the signals could be assessed. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 54-57DOI: (10.1016/j.jvscit.2017.12.004) Copyright © 2018 The Author(s) Terms and Conditions

Fig 4 A, Postoperative magnetic resonance imaging of the spine. The patent intercostal artery bypasses are indicated. B, Postoperative computed tomography (CT) scan 12 months after surgery. The occluded intercostal artery bypass is indicated. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 54-57DOI: (10.1016/j.jvscit.2017.12.004) Copyright © 2018 The Author(s) Terms and Conditions