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VOLUME 7 , ISSUE 5 (December 2014) > List of articles
Special issue ICST 2014
Citation Information : International Journal on Smart Sensing and Intelligent Systems. Volume 7, Issue 5, Pages 1-5, DOI: https://doi.org/10.21307/ijssis-2019-074
License : (CC BY-NC-ND 4.0)
Published Online: 15-February-2020
Without surgical repair thoracic aortic aneurysms are a lethal disease with poor prognosis. An extensive major operation is required to correct an aneurysm that involves the descending or thoracoabdominal aorta. Particular considerations must be made to protection of all abdominal organs, the brain and the spinal cord which are all at risk. Consequently there is a risk that these patients post operatively wake up paraplegic from spinal cord ischaemia due to the nature of the surgery. Certain techniques have evolved that have considerably reduced this risk. Neuromonitoring is a technique that can provide an intraoperative assessment of the integrity of the spinal cord through stimulation of nervous pathways and detection in either peripheral muscles or the brain cortex. In theory this can alert the surgical team to impending spinal cord ischaemia and change the management of this patient to prevent paraplegia. However, there is much ambiguity surrounding its use, with no conclusive evidence to prove this technique effectively reduces the rates of paraplegia. This literature review will assess the current methods of neuromonitoring in thoracoabdominal aneurysm repair.
 Griepp RB, Ergin MA, Galla JD, Lansman S, Khan N, Quintana C, et al. Looking for the artery of Adamkiewicz: a quest to minimize paraplegia after operations for aneurysms of the descending thoracic and thoracoabdominal aorta. J Thorac Cardiovasc Surg. 1996;112:1202-15J.
 Safi HJ, Campbell MP, Miller CC 3rd, Iliopoulos DC, Khoynezhad A, Letsou GV, et al. Cerebral spinal fluid drainage and distal aortic perfusion decrease the incidence of neurological deficit: the results of 343 descending and thoracoabdominal aortic aneurysm repairs. Eur J Vasc Endovasc Surg. 1997; 14:118-24.
 Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Experience with 1509 patients undergoing thoracoabdominal aortic operations. J Vasc Surg. 1993;17:357-70
 Zoli S, Roder F, Etz CD, Brenner RM, Bodian CA, Lin HM, et al. Predicting the risk of paraplegia after thoracic and thoracoabdominal aneurysm repair. Ann Thorac Surg. 2010;90:1237-44
 1. Coselli JS, LeMaire SA, Köksoy C, Schmittling ZC, Curling PE. Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: results of a randomized clinical trial. J Vasc Surg. 2002;35:631-9.
 Safi HJ, Miller CC 3rd, Carr C, Iliopoulos DC, Dorsay DA, Baldwin JC. Importance of intercostal artery reattachment during thoracoabdominal aortic aneurysm repair. J Vasc Surg. 1998;27:58-66
 1 Safi HJ, Hess KR, Randel M, Iliopoulos DC, Baldwin JC, Mootha RK, et al. Cerebrospinal fluid drainage and distal aortic perfusion: reducing neurologic complications in repair of thoracoabdominal aortic aneurysm types I and II. J Vasc Surg. 1996;23:223-8
 1 Jacobs MJ, Mess W, Mochtar B, Nijenhuis RJ, Statius van Eps RG, Schurink GW. The value of motor evoked potentials in reducing paraplegia during thoracoabdominal aneurysm repair. J Vasc Surg. 2006;43:239-46
 Eisen A. Clinical electrophysiology of the upper and lower motor neuron in amyotrophic lateral sclerosis. Semin Neurol. 2001;21:141-54.
 Dommisse GF. The blood supply of the spinal cord. A critical vascular zone in spinal surgery. J Bone Joint Surg Br. 1974;56:225-35.
 Jacobs MJ, de Mol BA, Elenbaas T, Mess WH, Kalkman CJ, Schurink GW, et al. Spinal cord blood supply in patients with thoracoabdominal aortic aneurysms. J Vasc Surg. 2002;35:30-7
 Acher CW, Wynn MM, Mell MW, Tefera G, Hoch JR. A quantitative assessment of the impact of intercostal artery reimplantation on paralysis risk in thoracoabdominal aortic aneurysm repair. Ann Surg. 2008;248:529-40
 Patton HD, Amassian VE. Single and multiple unit analysis of cortical stage of pyramidal tract activation. J Neurophysiol 1954; 17: 345–363.
 Merton, P.A. and Morton, H.B. Electrical stimulation of human motor and visual cortex through the scalp. J. Physiol. (Lond.), 1980b, 305: 9– 10.
 A.T. Barker, R. Jalinous, I.L. Freenston, J.A. Jarratt. Clinical evaluation of conduction time measurements in central motor pathways using magnetic stimulation of human brain Lancet, 1 (1985), pp. 1325–1326
 Macdonald DB, Skinner S, Shils J, Yingling C; American Society of Neurophysiological Monitoring. Intraoperative motor evoked potential monitoring - a position statement by the American Society of Neurophysiological Monitoring. Clin Neurophysiol. 2013;124:2291-316
 Macdonald DB. Intraoperative motor evoked potential monitoring: overview and update. J Clin Monit Comput. 2006;20:347-77
 Nuwer MR, Emerson RG, Galloway G, Leggatt AD, Lopez J, Minahan R, et al. Evidence-based guideline update: Intraoperative spinal monitoring with somatosensory and transcranial electrical motor evoked potentials. Neurology 2012; 78: 585-589
 Rossini PM, Berardelli A, Deuschl G, Hallett M, Maertens de Noordhout AM, et al. Applications of magnetic cortical stimulation. The International Federation of Clinical Neurophysiology. Electroencephalogr Clin Neurophysiol Suppl. 1999;52:171-85.
 Vucic S, Kiernan MC. Utility of transcranial magnetic stimulation in delineating amyotrophic lateral sclerosis pathophysiology. Handb Clin Neurol. 2013;116:561-75.
 Meyer S, Karttunen AH, Thijs V, Feys H, Verheyden G. How Do Somatosensory Deficits in the Arm and Hand Relate to Upper Limb Impairment, Activity, and Participation Problems After Stroke? A Systematic Review. Phys Ther. 2014 Apr 24. [Epub ahead of print] PubMed PMID: 24764072.
 Schlaeger R, Schindler C, Grize L, Dellas S, Radue EW, Kappos L, et al. Combined visual and motor evoked potentials predict multiple sclerosis disability after 20 years. Mult Scler. 2014 Feb 26. [Epub ahead of print] PubMed PMID:24574192.
 Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey DE Jr, American College of Cardiology Foundation; 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: executive summary. A report of the American College of
Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. Catheter Cardiovasc Interv. 2010 Aug 1;76:E43-86.
 Gazzeri R, Faiola A, Neroni M, Fiore C, Callovini G, Pischedda M, et al. Safety of intraoperative electrophysiological monitoring (TES and EMG) for spinal and cranial lesions. Surg Technol Int. 2013 Sep;23:296306.
 Goshgarian HG. Blood Supply of the Spinal Cord. In: Lin VW, Cardenas DD, Cutter NC, et al., editors. Spinal Cord Medicine: Principles and Practice. New York: Demos Medical Publishing; 2003. Available from: http://www.ncbi.nlm.nih.gov/books/NBK8851/
 Freeman TL, Johnson E, Freeman ED, et al. Somatosensory Evoked Potentials (SSEP) In: Cuccurullo S, editor. Physical Medicine and Rehabilitation Board Review. New York: Demos Medical Publishing; 2004. Available from: http://www.ncbi.nlm.nih.gov/books/NBK27201/
 Cruccu G, Aminoff MJ, Curio G, Guerit JM, Kakigi R, Mauguiere Fet al. Recommendations for the clinical use of somatosensory-evoked potentials. Clin Neurophysiol. 2008;119:1705-19.
 Etz CD, Kari FA, Mueller CS, Silovitz D, Brenner RM, Lin HM, et al. The collateral network concept: a reassessment of the anatomy of spinal cord perfusion. J Thorac Cardiovasc Surg. 2011;141:1020-8.
 T. Davies. The history of near infrared spectroscopic analysis: Past, present and future "From sleeping technique to the morning star of spectroscopy". 1998;26:17-19
 LeMaire SA, Ochoa LN, Conklin LD, Widman RA, Clubb FJ Jr, Undar A,et al. Transcutaneous near-infrared spectroscopy for detection of regional spinal ischemia during intercostal artery ligation: preliminary experimental results. J Thorac Cardiovasc Surg. 2006;132:1150-5
 Banaji M, Mallet A, Elwell CE, Nicholls P, Tachtsidis I, Smith M, Cooper CE. Modelling of mitochondrial oxygen consumption and NIRS detection of cytochrome oxidase redox state. Adv Exp Med Biol. 2010;662:285-91.
 Boushel R, Langberg H, Olesen J, Gonzales-Alonzo J, Bülow J, Kjaer M. Monitoring tissue oxygen availability with near infrared spectroscopy (NIRS) in health and disease. Scand J Med Sci Sports. 2001;11:213-22
 Hampton DA, Schreiber MA. Near infrared spectroscopy: clinical and research uses. Transfusion. 2013;53 Suppl 1:52S-58S
 Wolf M, Ferrari M, Quaresima V. Progress of near-infrared spectroscopy and topography for brain and muscle clinical applications. J Biomed Opt. 2007;12:062104
 Wakimoto MM, Kadosaki M, Nagata H, Suzuki KS. The usefulness of near-infrared spectroscopy in the anesthetic management of endovascular aortic aneurysm repair. J Anesth. 2012;26:932-5
 Moerman A, Van Herzeele I, Vanpeteghem C, Vermassen F, François K, Wouters P. Near-infrared spectroscopy for monitoring spinal cord ischemia during hybrid thoracoabdominal aortic aneurysm repair. J Endovasc Ther. 2011;18:91-5
 Demir A, Erdemli Ö, Ünal U, TaúR÷lu ø. Near-infrared spectroscopy monitoring of the spinal cord during type B aortic dissection surgery. J Card Surg. 2013;28:291-4
 Etz CD, von Aspern K, Gudehus S, Luehr M, Girrbach FF, Ender J, et al. Near-infrared spectroscopy monitoring of the collateral network prior to, during, and after thoracoabdominal aortic repair: a pilot study. Eur J Vasc Endovasc Surg. 2013;46:651-6.
 Badner NH, Nicolaou G, Clarke CF, Forbes TL. Use of spinal nearinfrared spectroscopy for monitoring spinal cord perfusion during endovascular thoracic aortic repairs. J Cardiothorac Vasc Anesth. 2011;25:316-9.