Cardiothoracic & vascular anesthesia

Fluoroscopic-guided Lumbar Subarachnoid Drain Placement: A Technical Report

J Cardiothorac Vasc AnesthPublished Technical report

Authors' conclusion

With over 175 successful placements, this experience emphasizes the value of real-time imaging for obtaining accurate needle and catheter placement, reducing adverse outcomes, and streamlining integration into operating room flow.

Study context

Population
Patients undergoing vascular and cardiac surgeries (major endovascular and open aortic repairs) needing prophylactic lumbar subarachnoid drains to prevent spinal cord ischemiaover 175 successful placements
Outcome
Fluoroscopic-guided lumbar drain placement programme
Follow-up
Over 6 years
Methodological detailssingle-centre, institutional experience
  • Single-centre
  • Institutional experience

Main finding

As reported in the abstract

  • Over 175 successful placements
  • Refined approach and protocols reduced traumatic placements and case cancellations
  • Fluoroscopic guidance especially useful in complex anatomies (prior spine surgery, anatomical variances, obesity)

Original publication

Fluoroscopic-guided Lumbar Subarachnoid Drain Placement: A Technical Report. J Cardiothorac Vasc Anesth. Published 30 August 2024. doi:10.1053/j.jvca.2024.08.034

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