Predicting the Risk of Paraplegia After Thoracic and Thoracoabdominal Aneurysm Repair
Zoli S, Roder F, Etz CD, Brenner RM, Bodian CA, Lin HM, Di Luozzo G, Griepp RB. Predicting the Risk of Paraplegia After Thoracic and Thoracoabdominal Aneurysm Repair. The Annals Of Thoracic Surgery 2010, 90: 1237-1245. PMID: 20868820, DOI: 10.1016/j.athoracsur.2010.04.091.Peer-Reviewed Original ResearchConceptsSpinal cord injuryRisk of paraplegiaSegmental arteriesParaplegia riskEndovascular repairAneurysm repairCord injuryThoracoabdominal aortic aneurysm repairMotor-evoked potential monitoringPrevious aortic surgeryThoracoabdominal aneurysm repairIndependent risk factorThoracoabdominal aortic aneurysmsAortic aneurysm repairStandard surgical approachCerebrospinal fluid drainageCrawford classificationHospital mortalitySCI riskAortic surgeryEmergent operationSurgical approachAortic aneurysmRisk factorsAbdominal aortaPatient Characteristics and Anesthetic Technique Are Additive but Not Synergistic Predictors of Successful Motor Evoked Potential Monitoring
Deiner S, Kwatra S, Lin H, Weisz D. Patient Characteristics and Anesthetic Technique Are Additive but Not Synergistic Predictors of Successful Motor Evoked Potential Monitoring. Anesthesia & Analgesia 2010, 111: 421-425. PMID: 20529980, DOI: 10.1213/ane.0b013e3181e41804.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAnesthesia, GeneralBody Mass IndexChi-Square DistributionComorbidityDiabetes ComplicationsElectric StimulationElectromyographyEvoked Potentials, MotorFemaleHumansHypertensionLogistic ModelsLower ExtremityMaleMiddle AgedMonitoring, IntraoperativeMuscle, SkeletalOdds RatioRetrospective StudiesRisk AssessmentRisk FactorsSex FactorsSpineConceptsBody mass indexAnesthetic techniqueEffects of diabetesBivariate analysisLower extremitiesUnivariate analysisDistribution of diabetesSurgical proceduresMEP monitoringAnesthesia techniquesLower extremity motorRate of neurological deficitsMotor-evoked potential monitoringRisk factors associated with failureMEP signalsFactors associated with failureDeleterious effects of diabetesRetrospective chart reviewCochran-Armitage testEvoked Potential MonitoringSpinal cord monitoringBreslow-Day testPresence of diabetesChi(2) testPotential risk factors
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