Permissive Hypertension and Collateral Revascularization May Allow Avoidance of CSF Drainage in TEVAR.

CONCLUSIONS: A restrictive lumbar CSFD algorithm including permissive hypertension and LSA revascularization in the setting of descending +/- arch TEVAR appears safe with a 0% incidence of SCI in 223 consecutive patients treated over a 6.5-year interval. We recommend consideration of further prospective study to evaluate this algorithm.
PMID: 32535042 [PubMed - as supplied by publisher]

Source: The Annals of Thoracic Surgery - June 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Weissler EH, Voigt SL, Raman V, Jawitz O, Doberne J, Anand J, Plichta R, Gaca JG, McCann RL, Hughes GC Tags: Ann Thorac Surg Source Type: research