Safety and efficacy of epidural cooling for regional spinal cord hypothermia during thoracoabdominal aneurysm repair

Eur J Cardiothorac Surg. 2004 Jan;25(1):139-41. doi: 10.1016/s1010-7940(03)00677-8.

Abstract

Twenty-four consecutive patients underwent epidural cooling as an adjunct to elective thoracoabdominal aortic repair under moderate systemic hypothermia. One patient suffered from postoperative paraplegia (4%), and another died from subarachnoidal hemorrhage (4%). Details of the technique, the associated care, and the pitfalls will be discussed.

MeSH terms

  • Aortic Aneurysm, Abdominal / mortality
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortic Aneurysm, Thoracic / mortality
  • Aortic Aneurysm, Thoracic / surgery*
  • Cardiac Catheterization / methods
  • Female
  • Humans
  • Hypothermia, Induced / methods*
  • Hypothermia, Induced / mortality
  • Male
  • Middle Aged
  • Spinal Cord Diseases / mortality
  • Spinal Cord Diseases / prevention & control*
  • Survival Rate
  • Treatment Outcome