胸主动脉腔内修复患者围手术期脊髓缺血评估与管理的最佳证据总结

doi:10.3761/j.issn.2096-7446.2025.06.020

Abstract

Abstract:

Objective To evaluate and summarize the best evidence for the assessment and management of perioperative spinal cord ischemia（SCI） in patients with thoracic endovascular aortic repair（TEVAR）. Methods The databases at home and abroad and relevant professional websites were systematically searched for clinical decision-making，guidelines，expert consensus，evidence summaries，and original studies on the assessment and management of perioperative SCI in patients with TEVAR. The retrieval time limit was from January 1，2014 to May 23，2024. Two researchers performed quality assessment，data extraction，evidence grading and summarization of the included literature. Results A total of 15 studies were included，including one clinical decision，five guidelines，six expert consensuses，two systematic reviews，and one cohort study. Twenty-seven recommendations were summarized in seven areas，including multidisciplinary team，assessment of risk factors，intraoperative spinal cord protection，assessment of spinal cord ischemia，postoperative cluster measures，cerebrospinal fluid puncture and drainage，and rehabilitation. Conclusion This study comprehensively and scientifically summarizes the best evidence for the assessment and management of spinal cord ischemia after TEVAR，provides an evidence-based basis for clinical healthcare professionals to target the application of evidence.

Key words: Thoracic Endovascular Aortic Repair, Spinal Cord Ischemia, Assessment, Management, Evidence Summary, Evidence-Based Nursing

XIANG Yuping, DENG Zhiqiang, ZENG Ling, FAN Jingxiu. Best evidence summary for prevention and management of spinal cord ischemia after thoracic endovascular aortic repair[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 744-750.

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References 30

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Best evidence summary for prevention and management of spinal cord ischemia after thoracic endovascular aortic repair

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