Cardiothoracic & vascular anesthesia

Comparison of Landmark-Guided Versus Fluoroscopy-Guided Cerebrospinal Fluid Drain-Related Complications After Aortic Repairs

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

In patients undergoing thoracic or thoracoabdominal aortic repairs, there were no significant differences in the risk of major and minor CSFD-related complications between fluoroscopic guidance and the landmark approach.

Study context

Population
Patients undergoing thoracic or thoracoabdominal aortic repair with a CSFD over a 7-year period at a single centerCerebrospinal fluid drains (CSFDs) placed
Participants
95 vs 150
Exposure
Fluoroscopy-guided vs landmark-guided CSFD placement
  • Fluoroscopyn = 95
  • Landmarkn = 150reference
Outcome
Composites of major and minor CSFD-related complications
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Major and minor CSFD-related complications

Major CSFD-related complications, all cases

4.5%

Minor CSFD-related complications, all cases

6.1%

Observational data: associations, not effects.

Further findings

OutcomeP value
CSFD placement attemptsFewer attempts with fluoroscopyP = 0.011
Duration of CSFD in placeLonger with fluoroscopyP < 0.001

Original publication

Comparison of Landmark-Guided Versus Fluoroscopy-Guided Cerebrospinal Fluid Drain-Related Complications After Aortic Repairs. J Cardiothorac Vasc Anesth. Published 2 June 2023. doi:10.1053/j.jvca.2023.05.048

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