Epidural Corticosteroids, Lumbar Spinal Drainage, and Selective Hemodynamic Control for the Prevention of Spinal Cord Ischemia in Thoracoabdominal Endovascular Aortic Repair: A New Clinical Protocol

Alberto Pasqualucci, Ayman Al-Sibaie, Kurian Palavilayil Thomas Vaidyan, Antonella Paladini, Mansour Yousef Nadhari, Fabio Gori, Hany Fawzy Greiss, Marina Properzi, Osama Sami Maki Al Ani, Aruna Godwin, Altaf Hussein Syedkazmi, Osama Ahmed Elhanf, Giustino Varrassi
  • Advances in Therapy, November 2019, Springer Science + Business Media
  • DOI: 10.1007/s12325-019-01146-7

Epidural corticosteroids help to prevent intra-operative spinal cord ischemia

Photo by jesse orrico on Unsplash

Photo by jesse orrico on Unsplash

What is it about?

One of the worse sequele of thoracoabdominal aortic repair is spinal cord ischemia. Many methods have been suggested to prevent this complication, including lumbar spinal drainage and selective hemodynamic control. This paper is focused on the add-on effects of epidural steroids.

Why is it important?

Spinal ischemia is a terrible complication of the thoracic aorta repair. This paper is suggesting a potentiality to prevent it.


Professor Giustino Varrassi
Paolo Procacci Foundation

Larger and better conducted studies on this topic should be conducted, in order to demonstrate the real efficacy of this add-on therapy proposed to prevent one of the worse complications of thoracic aorta repair: spinal cord ischemia.

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The following have contributed to this page: Professor Giustino Varrassi