Journal of Vascular Medicine & Surgery

Abstract

Spinal Cord Ischemia Prevention in Thoracoabdominal Aortic Aneurysm Repair: The Role of Temporary Aneurysm Sac Perfusion

Houssam Farres* and Yaman Alsabbagh

Spinal Cord Ischemia (SCI) is a dreadful complication following Thoracoabdominal Aortic Aneurysm (TAAA) repair, often resulting in paralysis and significantly reducing patient quality of life. The primary strategies for SCI prevention are Cerebrospinal Fluid (CSF) drainage and permissive hypertension. Staging the repair by at least five days is another strategy employed in endovascular and open repairs. Temporary Aneurysm Sac Perfusion (TASP) is a newly adopted technique in staged TAAA repair that reduces SCI risk by promoting the development of spinal collateral networks, making it an effective adjunct in both endovascular and hybrid staged TAAA repairs.

Published Date: 2024-08-13; Received Date: 2024-07-12