{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T18:31:32Z","timestamp":1790965892464,"version":"4.1.0"},"reference-count":65,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Despite recent improvements, spinal cord ischemia remains the most feared and dramatic complication following extensive aortic repair. Although endovascular procedures are associated with a lower risk compared with open procedures, this risk is still significant and must be considered. A combined medical and surgical approach may help to optimize the tolerance of the spinal cord to ischemia. The aim of this review is to describe the underlying mechanism involved in spinal cord injury during extensive endovascular aortic repair, to describe the different techniques used to improve spinal cord tolerance to ischemia\u2014including the prophylactic or curative use of spinal drainage\u2014and to propose our algorithm for spinal cord protection and the rational use of spinal drainage.<\/jats:p>","DOI":"10.3390\/jcm12247520","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T11:27:06Z","timestamp":1701775626000},"page":"7520","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Risk Factors for Spinal Cord Injury during Endovascular Repair of Thoracoabdominal Aneurysm: Review of the Literature and Proposal of a Prognostic Score"],"prefix":"10.3390","volume":"12","author":[{"given":"Laurent","family":"Brisard","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care, La\u00ebnnec Hospital, University Hospital of Nantes, F-44000 Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salma","family":"El Batti","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, H\u00f4pital Europ\u00e9en Georges Pompidou\u2014H\u00f4pitaux de Paris, Universit\u00e9 de Paris Cit\u00e9, F-75015 Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2422-5517","authenticated-orcid":false,"given":"Ottavia","family":"Borghese","sequence":"additional","affiliation":[{"name":"Department of Cardiac and Vascular Surgery, L\u2019Institut du Thorax, Nantes University Hospital, F-44093 Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8957-6951","authenticated-orcid":false,"given":"Blandine","family":"Maurel","sequence":"additional","affiliation":[{"name":"Department of Cardiac and Vascular Surgery, L\u2019Institut du Thorax, Nantes University Hospital, F-44093 Nantes, France"},{"name":"Inserm UMR 1087\/CNRS UMR 6291, L\u2019Institut du Thorax, Universit\u00e9 de Nantes, F-44000 Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,12,5]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2023, February 05). 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