{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T03:41:11Z","timestamp":1773891671568,"version":"3.50.1"},"reference-count":50,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2016,9,30]],"date-time":"2016-09-30T00:00:00Z","timestamp":1475193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p> Spinal cord ischemia remains the Achilles\u2019 heel of thoracic and thoracoabdominal diseases management. Great improvements in morbidity and mortality have been obtained with the endovascular approach TEVAR (Thoracic Endovascular Aortic Repair) but this devastating complication continues to severely affect the quality of life, even if the primary success of the procedure \u2013 dissection\/aneurysm exclusion \u2013 has been achieved. <\/jats:p><jats:p> Several strategies to deal with this complication have been published in the literature over the time. Knowledge and technology have been evolving from identification of the risk factors associated with spinal cord ischemia, including lessons learned from open surgery, and from developments in the collateral network concept for spinal cord perfusion. <\/jats:p><jats:p> In this comprehensive review, the authors cover several topics from the traditional measures comprising haemodynamic control, cerebrospinal drainage and neuroprotective drugs, to the staged-procedures approach, the emerging MISACE (minimally invasive selective segmental artery coil-embolization) and innovative neurologic monitoring such as NIRS (near-infrared spectroscopy) of the collateral network. <\/jats:p>","DOI":"10.1177\/1708538116671235","type":"journal-article","created":{"date-parts":[[2016,10,1]],"date-time":"2016-10-01T01:40:57Z","timestamp":1475286057000},"page":"307-315","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Strategies to prevent TEVAR-related spinal cord ischemia"],"prefix":"10.1177","volume":"25","author":[{"given":"Marina","family":"Dias-Neto","sequence":"first","affiliation":[{"name":"Department of Angiology and Vascular Surgery, S\u00e3o Jo\u00e3o Hospital Center, Alameda Professor Hernani Monteiro, Portugal"},{"name":"Department of Physiology and Cardiothoracic Surgery, Cardiovascular R&D Unit, Faculty of Medicine, University of Porto, Alameda Professor Hernani Monteiro, Portugal"}]},{"given":"Pedro Videira","family":"Reis","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, S\u00e3o Jo\u00e3o Hospital Center, Alameda Professor Hernani 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