Treatment of Delayed Neurological Deficits after Surgical Repair of Thoracic Aortic Aneurysm
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概要
- 論文の詳細を見る
Delayed neurologic deficits, paraplegia and paraparesis, are devastating complications after repair of a descending thoracic and thoracoabdominal aortic aneurysm (TAAA). A treatment protocol has not been established, although strategies such as cerebrospinal fluid (CSF) drainage, maintaining blood pressure and medication have been described. Cerebrospinal drain status /oxygen delivery/patient status (COPS) therapy for delayed neurological deficit can improve spinal cord ischemia through reducing intraspinal pressure, improving oxygen delivery and maintaining high blood pressure. We describe one patient (Case 1), in whom descending thoracic and abdominal aortic aneurysms were treated by endovascular aortic repair, and another (Case 2) with Crawford type II TAAA, who developed delayed neurological deficits that were treated with immediate COPS therapy (Modified Tarlov scale; Case 1, improved from 2 to 4; Case 2, from 0 to 4). These findings indicate the benefit of COPS for treating delayed neurological deficits after descending thoracic and TAAA.
- Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文
著者
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Ito Toshiro
Department Of Botany Faculty Of Science Kyoto University:department Of Biophysics Faculty Of Science
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Kurimoto Yoshihiko
Department Of Traumatology And Clinical Care Medicine Sapporo Medical University
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Higami Tetsuya
Department Of Cardiovascular And Digestive Surgery Shimane University School Of Medicine
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Kawaharada Nobuyoshi
Department Of Cardiovascular Surgery Sapporo Medical University
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Maeda Toshiyuki
Department Of Cardiovascular Surgery Sapporo City General Hospital
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Koyanagi Tetsuya
Department Of Cardiovascular Surgery Sapporo City General Hospital
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Yanase Yohsuke
Department Of Cardiovascular Surgery Sapporo City General Hospital
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Kawaharada Nobuyoshi
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University of Medicine, Sapporo, Hokkaido, Japan
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Higami Tetsuya
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University of Medicine, Sapporo, Hokkaido, Japan
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Kurimoto Yoshihiko
Department of Traumatology and Critical Care Medicine Intensive Care Unit, Sapporo Medical University of Medicine, Sapporo, Hokkaido, Japan
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Yanase Yohsuke
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University of Medicine, Sapporo, Hokkaido, Japan
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