Staged repair significantly reduces paraplegia rate after extensive thoracoabdominal aortic aneurysm repair  Christian D. Etz, MD, PhD, Stefano Zoli, MD, Christoph S. Mueller, MS, Carol A. Bodian, DrPH, Gabriele Di Luozzo, MD, Ricardo Lazala, MD, Konstadinos A. Plestis, MD, Randall B. Griepp, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 139, Issue 6, Pages 1464-1472 (June 2010) DOI: 10.1016/j.jtcvs.2010.02.037 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Extent of SA sacrifice in each patient. Patients were divided into 2 groups according to the number of procedures (1 stage: N = 55; 2 stages: N = 35). The extent of SA sacrifice during previous procedures is represented by the yellow part of each bar. Patients with postoperative spinal cord injury (∗). One-stage procedures with HCA (hatched bars). Paraparesis developed in only 1 patient when HCA was used. SA, Segmental artery. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 1464-1472DOI: (10.1016/j.jtcvs.2010.02.037) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 The number of patients in the entire cohort (N = 90) with each number of segmental arteries sacrificed. Note that more than 75% of patients required sacrifice of 12, 13, or 14 segmental arteries. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 1464-1472DOI: (10.1016/j.jtcvs.2010.02.037) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 The number of patients with each number of segmental arteries sacrificed during the first and second stages (N = 35). Six patients (∗) had an abdominal aortic aneurysm repair as the first stage. SA, Segmental artery. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 1464-1472DOI: (10.1016/j.jtcvs.2010.02.037) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions