A small flexible soft plastic tube placed in the lower back lumbar area to remove cerebrospinal fluid csf used to drain some of the cerebrospinal fluid that. Perioperative lumbar spinal drainage has been widely practiced for open repair but there is no consensus treatment protocol using lumbar drainage for sci associated with tevar.

Spinal Cord Protection And Related Complications In

19 28 53 promising data from hnath et al.

Tevar procedure lumbar drain. Lumbar drain management thoracic aortic aneurysm surgery presented by tonya l. What is a lumbar drain. Prior to stent graft placement a mean arterial pressure map of 90mmhg should be achieved.

In tevar procedures if spinal cord perfusion is severely compromised recovery may not be possible. Besides the particular complications associated with lumbar puncture or neuraxial anesthesia ie bleeding puncture headache. Lumbar drains for aortic endovascular or surgical procedure.

Lsa revascularization and csf drainage. Involving the thoracic aorta thoracic endovascular aortic repair tevar. 53 in a prospective observational study using historical controls outlined a significantly decreased incidence of postoperative spinal cord injury with tevar when csf drainage was used.

Maintain csfp 10mmhg ra intermittent drainage maintain hob 300and level of transducer at phlebostaticaxis drain only the prescribed amount never leave patient drains by gravity. The lumbar csf drainage catheter was inserted at l3l4 presumed interspace using a 19 gauge multi hole nylon epidural catheter via a 16 gauge tuohy needle. Page msn aprn acnp bc.

Intra operative management of patients undergoing tevar due diligence must be given to blood pressure control during the procedure. Early in our experience like other vascular centers we also had many questions regarding the indications for csf drainage during tevar. Lumbar csf drainage has been studied as a method for spinal cord protection during tevar procedures.

Indications for csf drainage in tevar for type b dissection repair. Selective preoperative lumbar drain placement with tevar. If a spinal drain has been placed this should be left on free drainage for the duration of the operation.

This study analyzes the efcacy of an institutional protocol using selective lumbar drainage. Since 2004 at the albany vascular institute approximately 200 patients have undergone tevar for a variety of emergent and elective thoracic aortic pathologies. This study analyzes the efficacy of an institutional protocol using selective lumbar drainage reserved for patients experiencing sci following tevar.

Planning is important and reliance on staged grafts may not be sufficient. Draining too fast may cause spinal headache. 2011 protocol o f f goal.

Preoperative lumbar drains were placed selec tively in patients considered high risk for sci due to planned long segment aortic coverage with a history of. Perioperative lumbar spinal drainage has been widely practiced for open repair but there is no consensus treatment protocol using lumbar drainage for sci associated with tevar. Between may 2002 and january 12 381 tevar procedures were performed at a single referral institution.

Spinal cord protection and related complications in endovascular management of b dissection.

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