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Department of Cardiovascular Surgery
1 Department of Orthopedic Surgery, Hiroshima University Hospital, Hiroshima, Japan
For reprint information contact: Kenji Okada, MD Tel: 81 82 257 5216 Fax: 81 82 257 5219 Email: kokada{at}hiroshima-u.ac.jp, Department of Cardiovascular Surgery, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
A simple technique termed "clamp test and spinal cord-plegia" for descending thoracic aortic aneurysm surgery is described. The clamp test is a passive method of creating ischemic conditions, whereas spinal cord-plegia is an active method of decreasing metabolism. This technique is a practical test that double-checks for critical feeding arteries and seems to have an excellent spinal cord-preserving effect.
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M. Hamaishi, K. Orihashi, S. Takahashi, M. Isaka, K. Okada, and T. Sueda Transcranial motor-evoked potentials following intra-aortic cold blood infusion facilitates detection of critical supplying artery of spinal cord Eur. J. Cardiothorac. Surg., April 1, 2008; 33(4): 695 - 699. [Abstract] [Full Text] [PDF] |
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