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Perioperative Liquordrainage zur Prävention der spinalen Ischämie bei endovaskulären Aorteneingriffen

Perioperative cerebrospinal fluid drainage for the prevention of spinal ischemia after endovascular aortic repair

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An Erratum to this article was published on 13 June 2017

A Leitthema to this article was published on 16 May 2017

Zusammenfassung

Die endovaskuläre Therapie von thorakalen und thorakoabdominellen Aortenerkrankungen geht, abhängig von der Entität und Ausprägung der jeweiligen Erkrankung, mit einem Risiko von 1–19 % für eine spinale Ischämie einher. Der Einsatz einer perioperativen Liquordrainage ist eine der invasiven Maßnahmen zur Verringerung des Auftretens dieser schwerwiegenden Komplikation. Diese Übersichtsarbeit legt die Inzidenz spinaler Ischämien, die Evidenz zur Durchführung einer perioperativen Liquordrainage und deren moderne Anwendung in Form eines automatisierten, druckkontrollierten Systems (LiquoGuard®7) dar.

Abstract

Endovascular treatment of thoracic and thoracoabdominal aortic diseases is accompanied by a risk of spinal ischemia in 1–19% of patients, depending on the entity and extent of the disease. The use of perioperative drainage of cerebrospinal fluid is one of the invasive measures to reduce the occurrence of this severe complication. This article reviews the incidence of spinal ischemia, its risk factors, the evidence for carrying out cerebrospinal fluid drainage and its modern use by means of an automated, pressure controlled system (LiquoGuard®7).

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Authors and Affiliations

  1. Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland

    M. Wortmann,  D. Böckler & P. Geisbüsch

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  1. M. Wortmann
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  2. D. Böckler
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  3. P. Geisbüsch
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Correspondence to D. Böckler.

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M. Wortmann, D. Böckler und P. Geisbüsch geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Ein Erratum zu diesem Beitrag ist unter http://dx.doi.org/10.1007/s00772-017-0281-8 zu finden.

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Wortmann, M., Böckler, D. & Geisbüsch, P. Perioperative Liquordrainage zur Prävention der spinalen Ischämie bei endovaskulären Aorteneingriffen. Gefässchirurgie 22, 96–101 (2017). https://doi.org/10.1007/s00772-017-0248-9

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