Journal of Vascular Surgery
Volume 46, Issue 3 , Pages 421-426 , September 2007

Spinal cord ischemia may be reduced via a novel technique of intercostal artery revascularization during open thoracoabdominal aneurysm repair

Presented at the Thirty-fifth Annual Society for Clinical Vascular Surgery Meeting in March 21-24, 2007.

  • Edward Y. Woo, MD

      Affiliations

    • Division of Vascular Surgery, University of Pennsylvania Medical Center, Philadelphia, Pa
    • Corresponding Author InformationCorrespondence: Edward Y. Woo, MD, University of Pennsylvania Medical Center, 4 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104.
  • ,
  • Michael Mcgarvey, MD

      Affiliations

    • Department of Surgery, and the Division of Neurology, Department of Medicine, University of Pennsylvania Medical Center, Philadelphia, Pa.
  • ,
  • Benjamin M. Jackson, MD

      Affiliations

    • Division of Vascular Surgery, University of Pennsylvania Medical Center, Philadelphia, Pa
  • ,
  • Joseph E. Bavaria, MD

      Affiliations

    • Division of Cardiothoracic Surgery, University of Pennsylvania Medical Center, Philadelphia, Pa
  • ,
  • Ronald M. Fairman, MD

      Affiliations

    • Division of Vascular Surgery, University of Pennsylvania Medical Center, Philadelphia, Pa
  • ,
  • Albert Pochettino, MD

      Affiliations

    • Division of Cardiothoracic Surgery, University of Pennsylvania Medical Center, Philadelphia, Pa

Received 13 March 2007 ,Accepted 17 April 2007.

References 

  1. Chuter TA, Gordon RL, Reilly LM, Goodman JD, Messina LM. An endovascular system for thoracoabdominal aortic aneurysm repair. J Endovasc Ther. 2001;8:25–33
  2. Safi HJ. How I do it: thoracoabdominal aortic aneurysm graft replacement. Cardiovasc Surg. 1999;7:607–613
  3. Lombardi JV, Carpenter JP, Pochettino A, Sonnad SS, Bavaria JE. Thoracoabdominal aortic aneurysm repair after prior aortic surgery. J Vasc Surg. 2003;38:1185–1190
  4. Cambria RP, Clouse WD, Davison JK, Dunn PF, Corey M, Dorer D. Thoracoabdominal aneurysm repair: results with 337 operations performed over a 15-year interval. Ann Surg. 2002;236:471–479discussion 479
  5. Coselli JS, LeMaire SA, Miller CC, Schmittling ZC, Koksoy C, Pagan J, et al. Mortality and paraplegia after thoracoabdominal aortic aneurysm repair: a risk factor analysis. Ann Thorac Surg. 2000;69:409–414
  6. Coselli JS, LeMaire SA, Conklin LD, Koksoy C, Schmittling ZC. Morbidity and mortality after extent II thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 2002;73:1107–1115discussion 1115-6
  7. Chiesa R, Melissano G, Civilini E, de Moura ML, Carozzo A, Zangrillo A. Ten years experience of thoracic and thoracoabdominal aortic aneurysm surgical repair: lessons learned. Ann Vasc Surg. 2004;18:514–520
  8. Rigberg DA, Zingmond DS, McGory ML, Maggard MA, Agustin M, Lawrence PF, et al. Age stratified, perioperative, and one-year mortality after abdominal aortic aneurysm repair: a statewide experience. J Vasc Surg. 2006;43:224–229
  9. Cina CS, Abouzahr L, Arena GO, Lagana A, Devereaux PJ, Farrokhyar F. Cerebrospinal fluid drainage to prevent paraplegia during thoracic and thoracoabdominal aortic aneurysm surgery: a systematic review and meta-analysis. J Vasc Surg. 2004;40:36–44
  10. Kuniyoshi Y, Koja K, Miyagi K, Shimoji M, Uezu T, Arakaki K, et al. Prevention of postoperative paraplegia during thoracoabdominal aortic surgery. Ann Thorac Surg. 2003;76:1477–1484
  11. Galla JD, Ergin MA, Lansman SL, McCullough JN, Nguyen KH, Spielvogel D, et al. Use of somatosensory evoked potentials for thoracic and thoracoabdominal aortic resections. Ann Thorac Surg. 1999;67:1947–1952discussion 1953-8
  12. Wada T, Yao H, Miyamoto T, Mukai S, Yamamura M. Prevention and detection of spinal cord injury during thoracic and thoracoabdominal aortic repairs. Ann Thorac Surg. 2001;72:80–84discussion 85
  13. Jacobs MJ, Elenbaas TW, Schurink GW, Mess WH, Mochtar B. Assessment of spinal cord integrity during thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 2002;74:S1864–S1866discussion S1892-8
  14. Jacobs MJ, Mess WH. The role of evoked potential monitoring in operative management of type I and type II thoracoabdominal aortic aneurysms. Semin Thorac Cardiovasc Surg. 2003;15:353–364
  15. Williams GM, Roseborough GS, Webb TH, Perler BA, Krosnick T. Preoperative selective intercostal angiography in patients undergoing thoracoabdominal aneurysm repair. J Vasc Surg. 2004;39:314–321
  16. Minatoya K, Karck M, Hagl C, Meyer A, Brassel F, Harringer W, et al. The impact of spinal angiography on the neurological outcome after surgery on the descending thoracic and thoracoabdominal aorta. Ann Thorac Surg. 2002;74:S1870–S1872discussion S1892-8
  17. Griepp RB, Ergin MA, Galla JD, Lansman S, Khan N, Quintana C, et al. Looking for the artery of Adamkiewicz: a quest to minimize paraplegia after operations for aneurysms of the descending thoracic and thoracoabdominal aorta. J Thorac Cardiovasc Surg. 1996;112:1202–1213discussion 1213-5
  18. Estrera AL, Miller CC, Huynh TT, Porat E, Safi HJ. Neurologic outcome after thoracic and thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 2001;72:1225–1230discussion 1230-1
  19. Kawaharada N, Morishita K, Fukada J, Watanabe T, Abe T. Surgical treatment of thoracoabdominal aortic aneurysm after repairs of descending thoracic or infrarenal abdominal aortic aneurysm. Eur J Cardiothorac Surg. 2001;20:520–526
  20. Coselli JS, LeMaire SA, de Figueiredo LP, Kirby RP. Paraplegia after thoracoabdominal aortic aneurysm repair: is dissection a risk factor?. Ann Thorac Surg. 1997;63:28–35discussion 35-6
  21. Dudra J, Shiiya N, Matsui Y, Sakuma M, Ishii K, Asada M, et al. Operative results of thoracoabdominal repair for chronic type B aortic dissection. J Cardiovasc Surg. 1997;38:147–151(Torino)
  22. Yoshioka K, Niinuma H, Ohira A, Nasu K, Kawakami T, Sasaki M, et al. MR angiography and CT angiography of the artery of Adamkiewicz: noninvasive preoperative assessment of thoracoabdominal aortic aneurysm. Radiographics. 2003;23:1215–1225
  23. Savader SJ, Williams GM, Trerotola SO, Perler BA, Wang MC, Venbrux AC, et al. Preoperative spinal artery localization and its relationship to postoperative neurologic complications. Radiology. 1993;189:165–171
  24. Nijenhuis RJ, Jacobs MJ, Schurink GW, Kessels AG, van Engelshoven JM, Backes WH. Magnetic resonance angiography and neuromonitoring to assess spinal cord blood supply in thoracic and thoracoabdominal aortic aneurysm surgery. J Vasc Surg. 2007;45:71–77discussion 77-8
  25. Koshino T, Murakami G, Morishita K, Mawatari T, Abe T. Does the Adamkiewicz artery originate from the larger segmental arteries?. J Thorac Cardiovasc Surg. 1999;117:898–905

 Competition of interest: none.

PII: S0741-5214(07)00732-X

doi: 10.1016/j.jvs.2007.04.048

Journal of Vascular Surgery
Volume 46, Issue 3 , Pages 421-426 , September 2007