Risk factors and prevention strategies of spinal cord ischemic injury after thoracoabdominal aortic aneurysm repair

Yusong Wang, Guanglang Zhu, Ziyang Sun, Lei Zhang
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Abstract

Thoracic and abdominal aortic aneurysm repair has always been a challenging procedure in cardiovascular surgery due to its high mortality and complication rate. At present, there are traditional open surgery, hybrid surgery and intracavitary repair for thoracic and abdominal aortic aneurysms. The main postoperative complication of spinal cord ischemia injury is paraplegia, which seriously affects the long-term survival rate and quality of life of patients. This paper summarized and considered the pathogenesis, risk factors and prevention measures of spinal cord ischemia injury after thoracic and abdominal aortic aneurysm repair.
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胸腹主动脉瘤修复后脊髓缺血性损伤的危险因素及预防策略
由于胸腹主动脉瘤的高死亡率和并发症发生率,其修复一直是心血管外科中一项具有挑战性的手术。目前胸腹主动脉瘤的治疗方法有传统的开放手术、混合手术和腔内修复。脊髓缺血损伤的主要术后并发症是截瘫,严重影响患者的长期生存率和生活质量。本文对胸腹主动脉瘤修复后脊髓缺血损伤的发病机制、危险因素及预防措施进行了总结和探讨。
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