Cerebral spinal fluid drainage and distal aortic perfusion decrease the incidence of neurological deficit: The results of 343 descending and thoracoabdominal aortic aneurysm repairs

We reviewed our experience of 343 descending and thoracoabdominal aortic aneurysm repairs to determine the impact of the adjuncts distal aortic perfusion and cerebral spinal fluid drainage on neurological deficit and death. Between January 1991 and March 1996, 104 (30%) patients were operated for th...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 1997-08, Vol.14 (2), p.118-124
Main Authors: Safi, H.J., Campbell, M.P., Miller, C.C., Iliopoulos, D.C., Khoynezhad, A., Letsou, G.V., Asimacopoulos, P.J.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Aneurysm, Dissecting - cerebrospinal fluid
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - surgery
Aorta, Abdominal - surgery
Aorta, Thoracic - surgery
Aortic Aneurysm, Abdominal - cerebrospinal fluid
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - surgery
Aortic Aneurysm, Thoracic - cerebrospinal fluid
Aortic Aneurysm, Thoracic - complications
Aortic Aneurysm, Thoracic - surgery
Cerebral spinal fluid drainage
Child
Drainage - instrumentation
Drainage - methods
Drainage - statistics & numerical data
Female
Humans
Incidence
Male
Middle Aged
Nervous System Diseases - epidemiology
Nervous System Diseases - prevention & control
Neurological deficit
Perfusion - instrumentation
Perfusion - methods
Perfusion - statistics & numerical data
Postoperative Complications - epidemiology
Postoperative Complications - prevention & control
Thoracoabdominal
Treatment Outcome
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Summary:We reviewed our experience of 343 descending and thoracoabdominal aortic aneurysm repairs to determine the impact of the adjuncts distal aortic perfusion and cerebral spinal fluid drainage on neurological deficit and death. Between January 1991 and March 1996, 104 (30%) patients were operated for thoracoabdominal aortic aneurysm type I, 118 (34%) for type II, 68 (20%) for type III or type IV, and 53 (15%) for descending thoracic type. Before September 1992, simple cross-clamp was used for 94 (27%) patients. After September 1992, adjuncts were used for 186 (54%) patients. Overall neurological deficit was 33/343 (10%). Neurological deficit for simple cross-clamp patients compared to adjunct patients was 15/94 (16%) vs. 12/186 (7%) (O.R. 0.36, p
ISSN:1078-5884
1532-2165
DOI:10.1016/S1078-5884(97)80208-0