Seminars in Cardiothoracic and Vascular Anesthesia

 

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Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 8, No. 2, 113-125 (2004)
DOI: 10.1177/108925320400800205

Electrophysiologic Monitoring during Surgery to Repair the Thoracoabdominal Aorta

Tod B. Sloan, MD, PhD

Anesthesiology-7838, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, Texas, 78229; sloan{at}uthscsa.edu

The repair of aneurysms and dissections that involve the thoracoabdominal aorta represent a major stress to the cardiovascular surgery team because of the feared complication of paraplegia. Here, the etiology of this complication is explained through a description of the relevant surgical anatomy and characteristics of hemodynamic support. In addition, recent advances in the neurophysiologic assessment of the descending motor pathways and their application to perioperative monitoring are discussed.


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