{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T01:32:19Z","timestamp":1788917539849,"version":"build-2803163510"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2022,9,5]],"date-time":"2022-09-05T00:00:00Z","timestamp":1662336000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>We investigated whether prophylactic preoperative cerebrospinal fluid drainage (CSFD) was effective in preventing spinal cord ischemia (SCI) during thoracic endovascular aortic repair of degenerative descending thoracic aortic aneurysms, excluding dissecting aneurysms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We retrospectively reviewed the medical records of patients who underwent thoracic endovascular aortic repair involving proximal landing zones 3 and 4 between 2009 and 2020.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Eighty-nine patients with preemptive CSFD [68 men; median (range) age, 76.0 (71.0\u201381.0) years] and 115 patients without CSFD [89 men; median (range) age, 77.0 (74.0\u201381.5) years] were included in this study. Among them, 59 from each group were matched based on propensity scores to regulate for differences in backgrounds. The incidence rate of SCI was similar: 8\/89 (9.0%) in the CSFD group and 6\/115 (5.2%) in the non-CSFD group (P\u2009=\u20090.403). Shaggy aorta (odds ratio, 5.13; P\u2009=\u20090.004) and iliac artery access (odds ratio, 5.04; P\u2009=\u20090.005) were identified as positive predictors of SCI. Other clinically important confounders included Adamkiewicz artery coverage (odds ratio, 2.53; P\u2009=\u20090.108) and extensive stent graft coverage (&amp;gt;8 vertebrae) (odds ratio, 1.41; P\u2009=\u20090.541) were not statistically significant. Propensity score matching yielded similar incidence of SCI: 4\/59 (6.8%) in the CSFD group and 3\/59 (5.1%) in the non-CSFD group (P\u2009=\u20090.697).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Aggressive use of prophylactic CSFD was not supportive in patients without complex risks of SCI.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezac441","type":"journal-article","created":{"date-parts":[[2022,9,5]],"date-time":"2022-09-05T13:09:33Z","timestamp":1662383373000},"source":"Crossref","is-referenced-by-count":8,"title":["Aggressive use of prophylactic cerebrospinal fluid drainage to prevent spinal cord ischemia during thoracic endovascular aortic repair is not supportive"],"prefix":"10.1093","volume":"62","author":[{"given":"Yoshimasa","family":"Seike","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center , Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuya","family":"Fukuda","sequence":"additional","affiliation":[{"name":"Department of Radiology, National Cerebral and Cardiovascular Center , Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koki","family":"Yokawa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center , Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeki","family":"Koizumi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center , Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenta","family":"Masada","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center , Osaka, 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