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Hypothermic retrograde venous perfusion with adenosine cools the spinal cord and reduces the risk of paraplegia after thoracic aortic clamping  Scott.

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Presentation on theme: "Hypothermic retrograde venous perfusion with adenosine cools the spinal cord and reduces the risk of paraplegia after thoracic aortic clamping  Scott."— Presentation transcript:

1 Hypothermic retrograde venous perfusion with adenosine cools the spinal cord and reduces the risk of paraplegia after thoracic aortic clamping  Scott D. Ross, MD, John A. Kern, MD, James J. Gangemi, MD, Char R. St Laurent, REEGT, Kimberly S. Shockey, MS, Irving L. Kron, MD, Curtis G. Tribble, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 119, Issue 3, Pages (March 2000) DOI: /S (00) Copyright © 2000 Mosby, Inc. Terms and Conditions

2 Fig. 1 Venogram of lateral view of chest. Contrast injected into the accessory hemiazygos vein fills the paravertebral veins and the epidural veins. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (00) ) Copyright © 2000 Mosby, Inc. Terms and Conditions

3 Fig. 2 Venogram of anterior-posterior view of chest. Contrast injected into the accessory hemiazygos vein fills the epidural veins bilaterally. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (00) ) Copyright © 2000 Mosby, Inc. Terms and Conditions

4 Fig. 3 Spinal temperatures during aortic crossclamping. Retrograde venous perfusion of the spinal cord with hypothermic adenosine (group III) quickly cooled the spinal cord and lowered spinal temperatures by 4.1°C after 30 minutes of aortic occlusion (P < .01). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (00) ) Copyright © 2000 Mosby, Inc. Terms and Conditions

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