Effects of thoracic aortic occlusion and cerebrospinal fluid drainage on regional spinal cord blood flow in dogs: Correlation with neurologic outcome

Slides:

Advertisements

Similar presentations

Endothelial cell seeding reduces thrombogenicity of Dacron grafts in humans Per Örtenwall, MD, PhD *, Hans Wadenvik, MD, PhD **, Jack Kutti, MD, PhD **,

Advertisements

The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.

Professionalism and the work-life balance Thomas S. Huber, MD, PhD Journal of Vascular Surgery Volume 60, Issue 4, Pages (October 2014) DOI:

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.

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

Peter Gloviczki, M. D. , Jack Fisher, M. D. , Larry H. Hollier, M. D

Aortic injury occurring after minor trauma in ankylosing spondylitis

Prevention of paraplegia during thoracic aortic cross-clamping: Importance of patent internal mammary arteries Joseph S. Giglia, MD, Gerald B. Zelenock,

Late survival in abdominal aortic aneurysm patients: The role of selective myocardial revascularization on the basis of clinical symptoms Martha M. Reigel,

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Graft-related complications after abdominal aortic aneurysm repair: Reassurance from a 36-year population-based experience John W. Hallett, MD, Donna.

Risk factors, outcomes, and clinical manifestations of spinal cord ischemia following thoracic endovascular aortic repair Brant W. Ullery, MD, Albert.

Richard T. Purdy, M. D. , Frederick C. Beyer, M. D. , William D

Presidential address: Energy, poise, and resilience—Daniel Bernoulli, Thomas Young, J. L. M. Poiseuille, and F. A. Simeone Robert W. Hopkins, MD Journal.

Mycotic axillary artery aneurysm

A new valvulotome for in situ bypass grafts

Aortic injury occurring after minor trauma in ankylosing spondylitis

Walter J. Scott, M.D., Bruce L. Gewertz, M.D.

Clinical outcome in patients with mild and moderate carotid artery stenosis Brian F. Johnson, MD, Fabio Verlato, MD, Robert O. Bergelin, MS, Jean F. Primozich,

Prevention of paraplegia in pigs by selective segmental artery perfusion during aortic cross-clamping Sven A. Meylaerts, MDa, Peter de Haan, MD, PhDb,

Presidential address: The foundations of modern aortic surgery

Malcolm O. Perry, MD, Richard Kempczinski, MD

Recurrent thoracic outlet syndrome

Protecting the brain and spinal cord

Risk factors, outcomes, and clinical manifestations of spinal cord ischemia following thoracic endovascular aortic repair Brant W. Ullery, MD, Albert.

Peter Gloviczki, M. D. , Jack Fisher, M. D. , Larry H. Hollier, M. D

Hemodynamics of the inferior mesenteric arterial circulation

Measurement of spinal cord blood flow by an inhalation method and intraarterial injection of hydrogen gas Itoshi Harakawa, MD, Takashi Yano, MD, Tsunehisa.

Hazim J. Safi, MD, Charles C

Marc M. Sedwitz, M. D. , Richard J. Davies, M. D. , Harold T

Charles W. Acher, MD, Martha M. Wynn, MD, John R. Hoch, MD, Paul W

Spinal cord injury in experimental thoracic aortic occlusion: investigation of combined methods of protection James R. Elmore, MD, Peter Gloviczki, MD,

Support Your Specialty

Giancarlo Piano, MD, Bruce L. Gewertz, MD Journal of Vascular Surgery

Jae-Sung Cho, MD, Peter Gloviczki, MD, Eugenio Martelli, MD, W

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Glossopharyngeal nerve injury complicating carotid endarterectomy

The Ross procedure: Time to reevaluate the guidelines

The occluded renal artery: Durability of revascularization

Recreational weight lifting and aortic dissection: Case report

Calvin B. Ernst, MD Journal of Vascular Surgery

James R. Burnett, MB, BS, FRACS, Robert J. Lusby, MD, FRCS, FRACS

Ruptured abdominal aortic aneurysm: A population-based study

Mesenteric blood flow in patients with diabetic neuropathy

Predictive value of transcutaneous oxygen pressure and amputation success by use of supine and elevation measurements J.Michael Bacharach, MD, Thom W.

Cardiovascular surgery—The rocket and its stars: Presidential address

Changes in S100β protein levels in cerebrospinal fluid after thoracoabdominal aortic operations Takashi Kunihara, MD, PhD, Norihiko Shiiya, MD, PhD,

Composite sequential bypasses to the ankle and beyond for limb salvage

J. Kenneth Davison, MD, Richard P. Cambria, MD, David J

Renovascular operations in patients with chronic renal insufficiency: Do the benefits justify the risks? John W. Hallett, M.D., Richard Fowl, M.D., Peter.

Infected femorodistal bypass: Is graft removal mandatory?

Research and research funding in vascular surgery

Gary W. Barone, MD, Axel W. Joob, MD, Terry L. Flanagan, MPH, Carey E

Discussion The Journal of Thoracic and Cardiovascular Surgery

Septic embolism complicating infective endocarditis

The future of cardiac surgery training: A survival guide

Seizures following subclavian-carotid bypass

Acute aortic occlusion – Factors that influence outcome

Monitoring vascular surgical performance

Direct noninvasive monitoring of spinal cord motor function during thoracic aortic occlusion: Use of motor evoked potentials John C. Laschinger, M.D.,

Failure of motor evoked potentials to predict neurologic outcome in experimental thoracic aortic occlusion James R. Elmore, MD, Peter Gloviczki, MD,

D. Emerick Szilagyi, MD—An appreciation

Superficial temporal artery aneurysms

Presidential address: The second-generation vascular surgeon

George D. Lilly 1906–1988 Journal of Vascular Surgery

James A. DeWeese, MD Journal of Vascular Surgery

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Innominate artery trauma: A thirty-year experience

Popliteal entrapment syndrome: A report of tibial nerve entrapment

Cornelius A. Sullivan, MD, Michael J. Rohrer, MD, Bruce S. Cutler, MD

Presentation transcript:

Effects of thoracic aortic occlusion and cerebrospinal fluid drainage on regional spinal cord blood flow in dogs: Correlation with neurologic outcome Thomas C. Bower, MD, Michael J. Murray, MD, PhD, Peter Gloviczki, MD, Tony L. Yaksh, PhD, Larry H. Hollier, MD, Peter C. Pairolero, MD Journal of Vascular Surgery Volume 9, Issue 1, Pages 135-144 (January 1989) DOI: 10.1016/0741-5214(89)90228-0 Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Canine model used in this experiment. Journal of Vascular Surgery 1989 9, 135-144DOI: (10.1016/0741-5214(89)90228-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Hemodynamic measurements before, during, and after thoracic aortic occlusion. ○----○, Group I (control); ▴----▴, group II (cross-clamp); □----□, group III (cross-clamp plus CSF drainage). Journal of Vascular Surgery 1989 9, 135-144DOI: (10.1016/0741-5214(89)90228-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Baseline gray and white matter blood flow (median) in various regions of spinal cord. Journal of Vascular Surgery 1989 9, 135-144DOI: (10.1016/0741-5214(89)90228-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Temporal changes of gray matter blood flow in lumbar segment of spinal cord. Journal of Vascular Surgery 1989 9, 135-144DOI: (10.1016/0741-5214(89)90228-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Regional gray matter blood flow (median) in spinal cord before, during, and after thoracic aortic occlusion. A, Before aortic cross-clamping. B, Five minutes after aortic cross-clamping. C, Sixty, minutes after aortic cross-clamping. D, Five minutes after aortic clamp removal. Journal of Vascular Surgery 1989 9, 135-144DOI: (10.1016/0741-5214(89)90228-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Correlation of lumbar cord blood flow at 60 minutes of aortic cross-clamping and clinical outcome. Journal of Vascular Surgery 1989 9, 135-144DOI: (10.1016/0741-5214(89)90228-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions