Preoperative spinal angiography decreases risk of spinal ischemia in pediatric posterior thoracic tumor resection

Purpose Resection of pediatric posterior thoracic tumors (PTTs) can be complicated by Artery of Adamkiewicz (AKA) injury. Post-op spinal ischemia occurs in approx. 3.2% of patients, typically due to iatrogenic vascular injury. Pre-op angiography (PSA) may help to avoid this complication. Herein, we...

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Bibliographic Details
Published in:Pediatric surgery international 2022-10, Vol.38 (10), p.1427-1434
Main Authors: Clark, Rachael A., Jacobson, Jillian C., Murphy, Joseph T.
Format: Article
Language:English
Subjects:
Ewings sarcoma
Ischemia
Lung cancer
Medical imaging
Medicine
Medicine & Public Health
Neuroblastoma
Original Article
Paralysis
Pediatric Surgery
Pediatrics
Surgery
Tumors
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Summary:Purpose Resection of pediatric posterior thoracic tumors (PTTs) can be complicated by Artery of Adamkiewicz (AKA) injury. Post-op spinal ischemia occurs in approx. 3.2% of patients, typically due to iatrogenic vascular injury. Pre-op angiography (PSA) may help to avoid this complication. Herein, we aim to evaluate outcomes after initiation of routine PSA prior to PTT resection. Methods A single-institution retrospective review identified 25 children (
ISSN:1437-9813
0179-0358
1437-9813
DOI:10.1007/s00383-022-05174-3