TY - JOUR
T1 - Perioperative Spinal Cord Ischemia After Cardiac Surgery Not Involving the Aorta
T2 - A Review of the Literature
AU - Wanat-Hawthorne, Alycia
AU - Akorede, Rufai
AU - Floyd, Thomas
N1 - Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2022/3
Y1 - 2022/3
N2 - Spinal cord ischemia (SCI) associated with aortic surgery is well-described; however, SCI after cardiac surgery not involving the aorta is an unusual and underappreciated phenomenon. The authors reviewed the literature and found 54 case reports of perioperative spinal cord ischemia in nonaortic surgery. The severity of its implications is evidenced by the fact that 14 patients died, 22 had no recovery, and seven had only partial recovery. Various types of cardiac surgery have reported this complication including coronary artery bypass grafting (CABG), off-pump CABG, valve surgeries, combination valve and CABG surgeries, and transcatheter aortic valve procedures. Patient comorbidities, such as high blood pressure, hypercholesterolemia, diabetes, and peripheral vascular disease, also may play a role in the development of this adverse outcome. The authors review the literature to define further possible mechanisms, surgical techniques, and patient factors that could contribute to the risk of perioperative SCI after cardiac surgery.
AB - Spinal cord ischemia (SCI) associated with aortic surgery is well-described; however, SCI after cardiac surgery not involving the aorta is an unusual and underappreciated phenomenon. The authors reviewed the literature and found 54 case reports of perioperative spinal cord ischemia in nonaortic surgery. The severity of its implications is evidenced by the fact that 14 patients died, 22 had no recovery, and seven had only partial recovery. Various types of cardiac surgery have reported this complication including coronary artery bypass grafting (CABG), off-pump CABG, valve surgeries, combination valve and CABG surgeries, and transcatheter aortic valve procedures. Patient comorbidities, such as high blood pressure, hypercholesterolemia, diabetes, and peripheral vascular disease, also may play a role in the development of this adverse outcome. The authors review the literature to define further possible mechanisms, surgical techniques, and patient factors that could contribute to the risk of perioperative SCI after cardiac surgery.
KW - cardiac surgery
KW - intra-aortic balloon pump
KW - paraplegia
KW - spinal cord ischemia
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U2 - 10.1053/j.jvca.2020.12.027
DO - 10.1053/j.jvca.2020.12.027
M3 - Review article
C2 - 33451953
AN - SCOPUS:85099293295
SN - 1053-0770
VL - 36
SP - 776
EP - 784
JO - Journal of cardiothoracic and vascular anesthesia
JF - Journal of cardiothoracic and vascular anesthesia
IS - 3
ER -