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Ann Thorac Surg 2001;71:1063-1064
© 2001 The Society of Thoracic Surgeons

Update

Update: Protection from postischemic spinal cord injury by perfusion cooling of the epidural space

Koichi Tabayashi, MDa, Naotaka Motoyoshi, MDa

a Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan

Address reprint requests to Dr Tabayashi, Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, 1-1 Seiryou-machi Aoba-ku, Sendai 980-8574, Japan

As Originally Published in 1993:



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During thoracoabdominal aortic surgery, various additional protective methods for spinal cord ischemia have been proposed and performed clinically. However, paraplegia is still an unpredictable complication, which occurs by the clamping of the thoracoabdominal aorta, resulting in exclusion of blood flow in critical and essential intercostal arteries. It is reported that hypothermia has some protective effect against ischemia of the brain and other organs. We have investigated the epidural cooling method as a regional hypothermia, and reported an experimental model of epidural . . . [Full Text of this Article]


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Invited commentary
Lars G. Svensson
Ann. Thorac. Surg. 2001 71: 1064. [Extract] [Full Text] [PDF]



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L. G. Svensson
Invited commentary
Ann. Thorac. Surg., March 1, 2001; 71(3): 1064.
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