HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Motoyoshi, N. Articles by Tabayashi, K. Search for Related Content PubMed PubMed Citation Articles by Motoyoshi, N. Articles by Tabayashi, K. Related Collections Great vessels

Eur J Cardiothorac Surg 2004;25:139-141
© 2004 Elsevier Science NL

How-to-do-it

Safety and efficacy of epidural cooling for regional spinal cord hypothermia during thoracoabdominal aneurysm repair

Department of Cardiovascular Surgery, Tohoku University, 1-1 Seiryou-cho, Aoba-ward, Sendai 981-0824, Japan

Received 17 November 2002; received in revised form 25 July 2003; accepted 1 September 2003.

^* Corresponding author. Tel.: +81-22-717-7111; fax: +81-22-717-7117

Twenty-four consecutive patients underwent epidural cooling as an adjunct to elective thoracoabdominal aortic repair under moderate systemic hypothermia. One patient suffered from postoperative paraplegia (4%), and another died from subarachnoidal hemorrhage (4%). Details of the technique, the associated care, and the pitfalls will be discussed.

Key Words: Epidural cooling • Thoracoabdominal aortic aneurysm