MRI patterns in ischemic spinal cord injury after thoracoabdominal aorta repair: Narrative review with illustrative case series
MRI clarifies the mechanism, extent, and timing of spinal cord ischemia after aortic repair and helps differentiate infarction from other causes of myelopathy. Differences in recovery between OR and TEVAR likely reflect underlying vascular anatomy and ischemic dynamics. Future multicenter studies using standardized MRI and vascular mapping could refine risk stratification, optimize CSF drainage strategies, and improve outcomes in this high-risk population.
Authors
- Simon Lowes (ORCID: https://orcid.org/0000-0003-1959-266X)
- Bradley Gigax
- Cassidy Wernke
- Hamdy Awad (ORCID: https://orcid.org/0000-0003-0715-4347)
- Esmerina Tili (ORCID: https://orcid.org/0000-0002-3540-8220)
- Eric C. Bourekas
- Matthew H. Greene (ORCID: https://orcid.org/0000-0001-5452-2304)
- Eaton Lin (ORCID: https://orcid.org/0000-0003-1860-4059)
- Michael Essandoh (ORCID: https://orcid.org/0000-0001-9156-065X)
- Amardeep Mudhar
- A Al Dabbagh
Institutions
- Johns Hopkins University (US)
- The Ohio State University (US)
Publication Details
- Journal
- Journal of Stroke and Cerebrovascular Diseases
- Published
- 2025-10-28
- DOI
- https://doi.org/10.1016/j.jstrokecerebrovasdis.2025.108479
- Primary Topic
- Aortic Disease and Treatment Approaches
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Foundation for Anesthesia Education and Research