Practice of neuromonitoring in open and endovascular thoracoabdominal aortic repair—an international expert-based modified Delphi consensus study Article Swipe
YOU?
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· 2023
· Open Access
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· DOI: https://doi.org/10.1093/ejcts/ezad198
OBJECTIVES Spinal cord injury is detrimental for patients undergoing open or endovascular thoracoabdominal aortic aneurysm (TAAA) repair. The aim of this survey and of the modified Delphi consensus was to gather information on current practices and standards in neuroprotection in patients undergoing open and endovascular TAAA. METHODS The Aortic Association conducted an international online survey on neuromonitoring in open and endovascular TAAA repair. In a first round an expert panel put together a survey on different aspects of neuromonitoring. Based on the answers from the first round of the survey, 18 Delphi consensus questions were formulated. RESULTS A total of 56 physicians completed the survey. Of these, 45 perform open and endovascular TAAA repair, 3 do open TAAA repair and 8 do endovascular TAAA repair. At least 1 neuromonitoring or protection modality is utilized during open TAAA surgery. Cerebrospinal fluid (CSF) drainage was used in 97.9%, near infrared spectroscopy in 70.8% and motor evoked potentials or somatosensory evoked potentials in 60.4%. Three of 53 centres do not utilize any form of neuromonitoring or protection during endovascular TAAA repair: 92.5% use CSF drainage; 35.8%, cerebral or paravertebral near infrared spectroscopy; and 24.5% motor evoked potentials or somatosensory evoked potentials. The utilization of CSF drainage and neuromonitoring varies depending on the extent of the TAAA repair. CONCLUSIONS The results of this survey and of the Delphi consensus show that there is broad consensus on the importance of protecting the spinal cord to avoid spinal cord injury in patients undergoing open TAAA repair. Those measures are less frequently utilized in patients undergoing endovascular TAAA repair but should be considered, especially in patients who require extensive coverage of the thoracoabdominal aorta.
Related Topics
- Type
- article
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- en
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- https://doi.org/10.1093/ejcts/ezad198
- https://academic.oup.com/ejcts/article-pdf/63/6/ezad198/50693137/ezad198.pdf
- OA Status
- bronze
- Cited By
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- References
- 24
- Related Works
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- OpenAlex ID
- https://openalex.org/W4378782522
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4378782522Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/ejcts/ezad198Digital Object Identifier
- Title
-
Practice of neuromonitoring in open and endovascular thoracoabdominal aortic repair—an international expert-based modified Delphi consensus studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-05-30Full publication date if available
- Authors
-
Thomas Schachner, Roman Gottardi, Jürg Schmidli, Thomas R. Wyss, Jos C. van den Berg, Nikolaos Tsilimparis, Joseph E. Bavaria, Luca Bertoglio, Andreas Martens, Martin Czerny, Ourania Preventza, Hitoshi Matsuda, Michael J. Jacobs, Benedikt Reutersberg, Roberto Chiesa, Chris Probst, Gabriele Piffaretti, Marco Di Eusanio, V. A. Sorokin, Fabio Verzini, Zoltán Szeberin, Stephen WK Cheng, Luca Di Marco, Yvonne Goßlau, George Matalanis, Konstantinos Tsagakis, Gustavo S. Oderich, Øyvind Jakobsen, Aung Oo, Ahmed Koshty, Maximilian Pichlmaier, Maciej Kolowca, Robin H. Heijmen, Luís Mendes Pedro, Inge Fourneau, Alexander Zimmermann, Kenji Minatoya, Stéphan Haulon, Maximilian Luehr, Christian Reeps, Thanos Sioris, Christoph Nienaber, Santi Trimarchi, John A. Elefteriades, Ernst Weigang, Toru Kuratani, Katrin Meisenbacher, Arminder S. Jassar, Martin Grabenwoeger, Mario D’Oria, Martina Fink, Joost A. van Herwaarden, Fabrizio Rosati, Eric L.G. Verhoeven, Piotr Szopiński, Mario Lescan, Afshin Assadian, Yutaka Okita, Kay‐Hyun Park, Massimiliano M. Marrocco‐TrischittaList of authors in order
- Landing page
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https://doi.org/10.1093/ejcts/ezad198Publisher landing page
- PDF URL
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https://academic.oup.com/ejcts/article-pdf/63/6/ezad198/50693137/ezad198.pdfDirect link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://academic.oup.com/ejcts/article-pdf/63/6/ezad198/50693137/ezad198.pdfDirect OA link when available
- Concepts
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Medicine, Spinal cord injury, Spinal cord, Somatosensory evoked potential, Aortic repair, Surgery, Anesthesia, Aneurysm, PsychiatryTop concepts (fields/topics) attached by OpenAlex
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10Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 6, 2023: 1Per-year citation counts (last 5 years)
- References (count)
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24Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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