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Canadian Journal of Anesthesia/Journal canadien d'anesthésie
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 6/2010

01-06-2010 | Images in Anesthesia

Transesophageal echocardiography imaging of subclavian to carotid artery transposition

Authors: Gary M. Dobson, MD, Randy D. Moore, MD, Neal P. Maher, MD

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 6/2010

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Excerpt

Paraplegia following endovascular management of thoracic aortic aneurysms is variably reported to occur in 2.7% (range 0-12%) of cases and is believed to be secondary to reduction of anterior spinal artery flow and spinal cord ischemia.1 This complication occurs more frequently when the left subclavian artery (LSA) is covered, compromising anterior cord blood flow from the left vertebral artery.2 Prophylactic revascularization utilizing left common carotid artery (LCA) to LSA bypass/transposition has been reported to reduce the incidence of paraplegia, particularly during long segment stenting of the thoracic aorta. …
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Literature
1.
Sullivan TM, Srdundt TM 3 rd . Complications of thoracic aortic endografts: spinal cord ischemia and stroke. J Vasc Surg 2006; 43 Suppl A: 85A-8A.CrossRefPubMed
2.
Buth J, Harris PL, Hobo R, et al. Neurologic complications associated with endovascular repair of thoracic aortic pathology: incidence and risk factors. A study from the European Collaborators on Stent/Graft Techniques for Aortic Aneurysm Repair (EUROSTAR) registry. J Vasc Surg 2006; 46: 1103-10.CrossRef
3.
Salerno P, Jackson A, Shaw M, Spratt P, Jansz P. Transesophageal echocardiographic imaging of the branches of the aorta: a guide to obtaining these images and their clinical utility. J Cardiothorac Vasc Anesth 2009; 23: 694-701.CrossRefPubMed
Metadata
Title
Transesophageal echocardiography imaging of subclavian to carotid artery transposition
Authors
Gary M. Dobson, MD
Randy D. Moore, MD
Neal P. Maher, MD
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 6/2010
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-010-9303-7

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