Spinal Cord Ischemia and Other Clinical Outcomes Associated With the Staging of Thoracic Endovascular Aortic Repair and Complex Endovascular Aortic Aneurysm Repair

Abstract

Spinal cord ischemia (SCI) continues to be a devastating complication associated with endovascular aortic aneurysm repair. Thus, a number of maneuvers such as staging aortic procedures have been increasingly used in attempts to mitigate this risk. Although some evidence has shown the potential for staging to decrease the rates of SCI and mortality, no consensus has been reached regarding its application. Thus, our study evaluated the effect of staging during thoracic and complex abdominal endovascular aortic repair on SCI, perioperative mortality and other major adverse events using the national Vascular Quality Initiative (VQI) database.