Abstract
PARAPERESIS REMAINS the most feared and unpredictable complication of open thoracoabdominal aneurysm (TAAA) repair, with an overall incidence of 16% in the Crawford benchmark series.1 Adjuncts such as cerebrospinal fluid (CSF) drainage and distal perfusion methods have decreased the incidence to 5% to 10%.2 Despite these advances, paraparesis remains a devastating complication, with poor long-term outcome for patients. The use of near-infrared spectroscopy (NIRS) for measuring cerebral oxygen saturation during cardiac surgery has shown promising results3 and may be of use in adult head-injured and neonatal intensive care unit patients.
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