Paraplegia After Thoracoabdominal Aortic Aneurysm Repair: Is Dissection a Risk Factor? Joseph S. Coselli, Scott A. LeMaire, Luiz Poli de Figueiredo,

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Presentation transcript:

Paraplegia After Thoracoabdominal Aortic Aneurysm Repair: Is Dissection a Risk Factor? Joseph S. Coselli, Scott A. LeMaire, Luiz Poli de Figueiredo, Randall P. Kirby The Annals of Thoracic Surgery Volume 63, Issue 1, Pages 28-36 (January 1997) DOI: 10.1016/S0003-4975(96)01029-6

Fig. 1 (A) Preoperative drawing and computed tomographic scan of an extensive aortic aneurysm involving the ascending aorta, transverse aortic arch, and thoracoabdominal aorta (Crawford extent II). (B) Postoperative drawing and aortogram after staged repair of ascending, transverse aortic arch, and thoracoabdominal aortic aneurysms. The Annals of Thoracic Surgery 1997 63, 28-36DOI: (10.1016/S0003-4975(96)01029-6)

Fig. 2 Proposed reduction in risk of paraplegia/paraparesis obtained with atriodistal bypass (ADB). Graphic representation of relationship between cross-clamp time and risk of spinal cord injury is modified from Svensson and Loop [19]. (ICA = intercostal artery.) The Annals of Thoracic Surgery 1997 63, 28-36DOI: (10.1016/S0003-4975(96)01029-6)

Fig. 3 Incidence of paraplegia/paraparesis based on aortic cross-clamp times in 660 patients undergoing thoracoabdominal aortic aneurysm repair with and without atriodistal bypass (ATR). The Annals of Thoracic Surgery 1997 63, 28-36DOI: (10.1016/S0003-4975(96)01029-6)