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Perioperative Management to Improve Neurologic Outcome in Thoracic or Thoracoabdominal Aortic Stent-Grafting  Ernst Weigang, MD, Marc Hartert, Michael.

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Presentation on theme: "Perioperative Management to Improve Neurologic Outcome in Thoracic or Thoracoabdominal Aortic Stent-Grafting  Ernst Weigang, MD, Marc Hartert, Michael."— Presentation transcript:

1 Perioperative Management to Improve Neurologic Outcome in Thoracic or Thoracoabdominal Aortic Stent-Grafting  Ernst Weigang, MD, Marc Hartert, Michael P. Siegenthaler, MD, Nicholas A. Beckmann, Ronen Sircar, MD, Gàbor Szabò, MD, Christian D. Etz, MD, Maximilian Luehr, Patrick von Samson, MD, Friedhelm Beyersdorf, MD  The Annals of Thoracic Surgery  Volume 82, Issue 5, Pages (November 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Preoperative angiography of a Crawford type II thoracoabdominal aortic aneurysm. The greatest widening of the aorta is present in the thoracic and infrarenal areas. The aorta is only slightly widened in the area surrounding the visceral and renal arteries. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Postoperative three-dimensional reconstruction of a computed tomography image. Endovascular implantation of two stent-grafts in the thoracic and infrarenal aortic area, in which case the visceral and renal arteries were not over-stented. In this case, we were treating a multimorbid patient. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Normal transcranial motor-evoked potentials (top) and somatosensory-evoked potentials (bottom) during stent graft procedure (ISIS IOM system; inomed Medizintechnik GmbH, Teningen, Germany). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

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