Abstract

Spinal drainage is a well-accepted adjunct employed to reduce the incidence of spinal cord morbidity after open thoracoabdominal aortic aneurysm (TAAA) repair. However, major complications associated with spinal drains, such as epidural hematoma, can be devastating. Our practice has evolved to routine performance of extensive TAAA repair under cardiopulmonary bypass and deep hypothermic circulatory arrest (DHCA); the intraoperative hypothermia provides spinal cord and other organ protection. The aim of this study was to evaluate the utility of additional spinal cord drainage in preventing paraplegia under these circumstances.

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