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Ann Thorac Surg 2001;72:85
© 2001 The Society of Thoracic Surgeons

Invited commentary

e-mail: johnlaschinger@home.com

Wada and associates are to be congratulated for their outstanding results achieved in patients undergoing repair of aneurysms of the descending thoracic and thoracoabdominal aorta. The authors describe a retrospective series which, over the last 17 years, has employed the routine use of somatosensory evoked potential monitoring (SEP), cerebrospinal fluid pressure monitoring (CSFP), and mean distal aortic pressure monitoring (MDAP). The authors use the difference between the latter two measurements to calculate the spinal cord perfusion pressure (SCPP). Their results show that they were successful in preventing paraplegia in patients in whom SCPP was maintained at greater than 40 mm Hg who had no significant ischemic changes in spinal cord function . . . [Full Text of this Article]

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Prevention and detection of spinal cord injury during thoracic and thoracoabdominal aortic repairs

Torazo Wada, Hideki Yao, Takashi Miyamoto, Sukemasa Mukai, and Mitsuhiro Yamamura
Ann. Thorac. Surg. 2001 72: 80-84. [Abstract] [Full Text] [PDF]